Provider Demographics
NPI:1871389031
Name:RODRIGUES, AFRODITE MIRANDA
Entity type:Individual
Prefix:
First Name:AFRODITE
Middle Name:MIRANDA
Last Name:RODRIGUES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 BREER CIR
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-5756
Mailing Address - Country:US
Mailing Address - Phone:774-257-7723
Mailing Address - Fax:
Practice Address - Street 1:85 BREER CIR
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-5756
Practice Address - Country:US
Practice Address - Phone:774-257-7723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician