NPI 1023602513

Mario Rodriguez

Practitioner Behavior Analyst Cicero, IL

Practice location

Address: 4839 W 24th St, Cicero, IL 60804-3445
Phone: (773) 469-8410

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Registry record

NPI: 1023602513
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Feb 2021
Record last updated: 24 Feb 2021

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.