NPI 1003406810

Kenny Junior Rodriguez Trujillo

Practitioner Peer Specialist Greenbrae, CA

Practice location

Address: 250 Bon Air Road, Unit B - 1st Floor (access Team), Greenbrae, CA 94904
Phone: (888) 818-1115

Registered specialties (3)

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence MPSS-IJQGWM (CA)

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Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence MPSS-IJQGWM (CA)

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Rehabilitation Practitioner

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence MPSS-IJQGWM (CA)

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Registry record

NPI: 1003406810
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jan 2021
Record last updated: 8 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.