Maria Victoria Rodriguez I

Individual provider Active NPI Behavior Analyst · W Melbourne, FL

NPI 1023501400 · NPPES record last updated Jun 11, 2018

Key facts

NPI
1023501400
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
4742 Crew Cir Apt 6
W Melbourne, FL 32904-8449
Phone
(321) 208-3946
NPI assigned
Jun 11, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

4742 Crew Cir Apt 6
W Melbourne, FL 32904-8449

Mailing address

4742 Crew Cir Apt 6
W Melbourne, FL 32904-8449
Phone (321) 208-3946

Other providers in W Melbourne, FL

All providers in W Melbourne, FL · Behavior Analyst in Florida

Sources for this page

Verify at the official NPI Registry.