Provider Demographics
NPI:1851947899
Name:RODRIGUEZ, SAYLI (RBT)
Entity Type:Individual
Prefix:
First Name:SAYLI
Middle Name:
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 1:28062 SW 164TH PL
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-1056
Mailing Address - Country:US
Mailing Address - Phone:786-797-9950
Mailing Address - Fax:305-675-8040
Practice Address - Street 1:28062 SW 164TH PL
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-1056
Practice Address - Country:US
Practice Address - Phone:786-797-9950
Practice Address - Fax:305-675-8040
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-15
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician