Provider Demographics
NPI:1205681913
Name:RODRIGUES, KARLA ELIZABETH (RBT-24-337836)
Entity type:Individual
Prefix:MR
First Name:KARLA
Middle Name:ELIZABETH
Last Name:RODRIGUES
Suffix:
Gender:F
Credentials:RBT-24-337836
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2155 MADEIRA DR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33327-1918
Mailing Address - Country:US
Mailing Address - Phone:954-394-9749
Mailing Address - Fax:
Practice Address - Street 1:2155 MADEIRA DR
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33327-1918
Practice Address - Country:US
Practice Address - Phone:954-394-9749
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-17
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-337836106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician