Gwendolyn Rae Page Rodriguez, BCBA

NPI #1942976527 in Godfrey, Illinois

Provider Information

NPI Number: 1942976527
Entity Type: Individual
Name: Gwendolyn Rae Page Rodriguez, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Aug 23, 2021
Last Updated: Aug 16, 2023

Practice Location

Address: 6301 HUMBERT RD
City: Godfrey
State: Illinois
ZIP Code: 62035-2163
Phone: (618) 466-0367

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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