Provider Demographics
NPI:1881438257
Name:RODRIGUEZ-ALATORRE, VANESSA ABIGAIL
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:ABIGAIL
Last Name:RODRIGUEZ-ALATORRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:VANESSA
Other - Middle Name:A
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2005 N PANNES AVE
Mailing Address - Street 2:
Mailing Address - City:COMPTON
Mailing Address - State:CA
Mailing Address - Zip Code:90221-1342
Mailing Address - Country:US
Mailing Address - Phone:661-346-1332
Mailing Address - Fax:
Practice Address - Street 1:2005 N PANNES AVE
Practice Address - Street 2:
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90221-1342
Practice Address - Country:US
Practice Address - Phone:661-346-1332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician