Provider Demographics
NPI:1780471508
Name:COMPTE RODRIGUEZ, ODIESKY
Entity type:Individual
Prefix:
First Name:ODIESKY
Middle Name:
Last Name:COMPTE RODRIGUEZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:941 LITTLE RIVER DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33150-2356
Mailing Address - Country:US
Mailing Address - Phone:305-522-1172
Mailing Address - Fax:
Practice Address - Street 1:941 LITTLE RIVER DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33150-2356
Practice Address - Country:US
Practice Address - Phone:305-522-1172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-426864106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician