Provider Demographics
NPI:1760779136
Name:RODRIGUEZ, CLAUDIA
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4111 WESTCITY CT
Mailing Address - Street 2:APT 216
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-1647
Mailing Address - Country:US
Mailing Address - Phone:915-321-1286
Mailing Address - Fax:
Practice Address - Street 1:4111 WESTCITY CT
Practice Address - Street 2:APT 216
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-1647
Practice Address - Country:US
Practice Address - Phone:915-321-1286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-06
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst