Provider Demographics
NPI:1295227346
Name:RODRIGUEZ, RITA CARIDAD (RBT)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:CARIDAD
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2937 NW 103RD ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33147-1641
Mailing Address - Country:US
Mailing Address - Phone:786-543-8103
Mailing Address - Fax:
Practice Address - Street 1:BETT-ER SUPPORT & SERVICE INC.
Practice Address - Street 2:815 NW 57 AVENUE STE 114
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126
Practice Address - Country:US
Practice Address - Phone:786-534-7172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-05
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-18-55455106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician