Rodriguez, Jose Ivan

Rodriguez, Jose Ivan is an individual health care provider with primary practice located at 198 Juana Ave , San Leandro CA 94577-4808. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is his primary health care specialty. Rodriguez, Jose Ivan can be contacted via phone (510) 822-2915.

Contact Information

Primary practice address
198 Juana Ave San Leandro CA 94577-4808
Phone: (510) 822-2915
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1063187433
LBN Legal business name Rodriguez, Jose Ivan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2021
Last updated Aug 18th, 2021 - about 5 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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