Provider Demographics
NPI:1053157180
Name:RODRIGUEZ NODARSE, CLAUDIA
Entity type:Individual
Prefix:MISS
First Name:CLAUDIA
Middle Name:
Last Name:RODRIGUEZ NODARSE
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 1:137 NE 10TH AVE
Mailing Address - Street 2:206
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435
Mailing Address - Country:US
Mailing Address - Phone:305-922-9323
Mailing Address - Fax:
Practice Address - Street 1:4793 N CONGRESS AVE # 203-204
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-7937
Practice Address - Country:US
Practice Address - Phone:561-429-3863
Practice Address - Fax:561-448-6063
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician