Dominique Rodriguez

NPI #1104717529 in Roy, Utah

Provider Information

NPI Number: 1104717529
Entity Type: Individual
Name: Dominique Rodriguez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 14, 2025
Last Updated: Jul 14, 2025

Practice Location

Address: 1858 W 5150 S
City: Roy
State: Utah
ZIP Code: 84067-3000
Phone: (801) 255-5131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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