Provider Demographics
NPI:1932062924
Name:RODRIGUEZ, ABIGAIL MONIQUE I
Entity type:Individual
Prefix:MS
First Name:ABIGAIL
Middle Name:MONIQUE
Last Name:RODRIGUEZ
Suffix:I
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 1:9357 MISSION BLVD
Mailing Address - Street 2:
Mailing Address - City:JURUPA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92509-2724
Mailing Address - Country:US
Mailing Address - Phone:909-717-8548
Mailing Address - Fax:
Practice Address - Street 1:9357 MISSION BLVD
Practice Address - Street 2:
Practice Address - City:JURUPA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92509-2724
Practice Address - Country:US
Practice Address - Phone:909-717-8548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-05
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty