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NPI Code Detail

MEDICARE: NATIVIDAD RODRIGUEZ LABA

MEDICARE: NATIVIDAD RODRIGUEZ LABA
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
1222Q00000XDevelopmental Therapist
2103K00000XBehavior Analyst2065MA

General Provider Information

NPI Number : 1992008981
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATIVIDAD RODRIGUEZ LABA
Provider Business Mailing Address
First Line : 3 TURIN RD # 2
Second Line :
City : WORCESTER
State : MA
Zip : 01604-1825
Country : US
Telephone Number : 269-598-9989
Fax Number :
Provider Business Practice Location Address
First Line : 132 ROBBS HILL RD
Second Line :
City : LUNENBURG
State : MA
Zip : 01462-2167
Country : US
Telephone Number : 774-270-1766
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2010
Last Update Date : 05/12/2020

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Directions to “ NATIVIDAD RODRIGUEZ LABA” Practice Location

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