Andre Rico James Rodriquez

NPI #1407314115 in Greeley, Colorado

Provider Information

NPI Number: 1407314115
Entity Type: Individual
Name: Andre Rico James Rodriquez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 12, 2019
Last Updated: Jun 3, 2021

Practice Location

Address: 1675 18TH AVE STE 2
City: Greeley
State: Colorado
ZIP Code: 80631-5151
Phone: (970) 400-9821

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Behavior Technician	106S00000X	Primary

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