Rodriguez, Genesis Samantha

Rodriguez, Genesis Samantha is an individual health care provider with primary practice located at 5352 Laurel Canyon Blvd Ste 100 , Valley Village CA 91607-4923. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Rodriguez, Genesis Samantha can be contacted via phone (747) 254-1154.

Contact Information

Primary practice address
5352 Laurel Canyon Blvd Ste 100 Valley Village CA 91607-4923
Phone: (747) 254-1154
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1336717875
LBN Legal business name Rodriguez, Genesis Samantha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2021
Last updated Jun 11th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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