Provider Demographics
NPI:1124873922
Name:RODRIGUEZ, MARIA RAMONA
Entity type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:RAMONA
Last Name:RODRIGUEZ
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 1:14309 BARCLAY AVE APT 5B
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-1903
Mailing Address - Country:US
Mailing Address - Phone:347-303-6337
Mailing Address - Fax:
Practice Address - Street 1:14309 BARCLAY AVE APT 5B
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-1903
Practice Address - Country:US
Practice Address - Phone:347-303-6337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst