MEDICARE: TANYA HILL RODRIGUEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician		TX

General Provider Information

NPI Number	:	1891224598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANYA HILL RODRIGUEZ

Provider Business Mailing Address
First Line	:	140 W FRANKLIN ST STE 202
Second Line	:
City	:	MONTEREY
State	:	CA
Zip	:	93940-2725
Country	:	US
Telephone Number	:	916-337-4052
Fax Number	:	800-991-6071

Provider Business Practice Location Address
First Line	:	7340 GOLDEN SAGE DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79911-3115
Country	:	US
Telephone Number	:	915-245-7249
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2017
Last Update Date	:	06/06/2017

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Directions to “ TANYA HILL RODRIGUEZ ” Practice Location

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