Rodriguez Trujillo, Kenny Junior

Rodriguez Trujillo, Kenny Junior is an individual health care provider with primary practice located at 250 Bon Air Road, Unit B - 1St Floor (Access Team) , Greenbrae CA 94904. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Rodriguez Trujillo, Kenny Junior can be contacted via phone (888) 818-1115.

Contact Information

Primary practice address
250 Bon Air Road, Unit B - 1St Floor (Access Team) Greenbrae CA 94904
Phone: (888) 818-1115
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X MPSS-IJQGWM California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X MPSS-IJQGWM California
Other Service Providers / Peer Specialist 175T00000X MPSS-IJQGWM California

Profile Details

NPI number 1003406810
LBN Legal business name Rodriguez Trujillo, Kenny Junior
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2021
Last updated Apr 8th, 2024 - about 7 months 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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