MEDICARE: KARLA 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	:	1912723081
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARLA RODRIGUEZ

Provider Business Mailing Address
First Line	:	620 N ROBINSON DR
Second Line	:
City	:	ROBINSON
State	:	TX
Zip	:	76706-5312
Country	:	US
Telephone Number	:	254-732-2262
Fax Number	:

Provider Business Practice Location Address
First Line	:	3009 SAULSBURY DR
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76504-2273
Country	:	US
Telephone Number	:	254-732-2262
Fax Number	:

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

Provider Enumeration Date	:	11/22/2024
Last Update Date	:	02/25/2025

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Directions to “ KARLA RODRIGUEZ ” Practice Location

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