Elidanis Martinez Rodriguez

NPI #1972312171 in Midland, Texas

Provider Information

NPI Number: 1972312171
Entity Type: Individual
Name: Elidanis Martinez Rodriguez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jan 2, 2025
Last Updated: Jan 2, 2025

Practice Location

Address: 611 E INTERSTATE 20 APT D101
City: Midland
State: Texas
ZIP Code: 79701-2040
Phone: (281) 571-9482

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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