Provider Demographics
NPI:1821892118
Name:RODRIGUEZ, JAEL ROSEMARIE
Entity type:Individual
Prefix:
First Name:JAEL
Middle Name:ROSEMARIE
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 1:8075 IRVING ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-4123
Mailing Address - Country:US
Mailing Address - Phone:303-961-5534
Mailing Address - Fax:
Practice Address - Street 1:8075 IRVING ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-4123
Practice Address - Country:US
Practice Address - Phone:303-961-5534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician