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1063187433
JOSE IVAN RODRIGUEZ
SAN LEANDRO, CA
NPI
1063187433
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2021-08-09
Last Update Date
2021-08-18
Business Address
JOSE IVAN RODRIGUEZ
198 JUANA AVE
SAN LEANDRO, CA 94577-4808
Phone number: 510-822-2915
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Mailing Address
JOSE IVAN RODRIGUEZ
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2245
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