Provider Demographics
NPI:1720889660
Name:RODRIGUEZ, MARIA FERNANDA
Entity type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:FERNANDA
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 1:4301 BURNET RD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78756-3307
Mailing Address - Country:US
Mailing Address - Phone:512-524-1374
Mailing Address - Fax:
Practice Address - Street 1:4113 ROSEDALE AVE
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78756-3632
Practice Address - Country:US
Practice Address - Phone:512-524-1374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst