Provider Demographics
NPI:1780478248
Name:RODRIGUEZ, BRITNEY NICOLE
Entity type:Individual
Prefix:
First Name:BRITNEY
Middle Name:NICOLE
Last Name: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:PO BOX 4863
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-1863
Mailing Address - Country:US
Mailing Address - Phone:714-599-4676
Mailing Address - Fax:
Practice Address - Street 1:7033 STEWART AND GRAY RD UNIT 15
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-4379
Practice Address - Country:US
Practice Address - Phone:714-599-4676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1204381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical