Genesis Samantha Rodriguez

NPI #1336717875 in Valley Village, California

Provider Information

NPI Number: 1336717875
Entity Type: Individual
Name: Genesis Samantha Rodriguez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 11, 2021
Last Updated: Jun 11, 2021

Practice Location

Address: 5352 LAUREL CANYON BLVD STE 100
City: Valley Village
State: California
ZIP Code: 91607-4923
Phone: (747) 254-1154

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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