Provider Demographics
NPI:1447922885
Name:RODRIGUEZ AGUERO, CAMILA
Entity type:Individual
Prefix:
First Name:CAMILA
Middle Name:
Last Name:RODRIGUEZ AGUERO
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 1:11666 SW 245TH TER
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-4054
Mailing Address - Country:US
Mailing Address - Phone:786-499-7962
Mailing Address - Fax:
Practice Address - Street 1:11666 SW 245TH TER
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-4054
Practice Address - Country:US
Practice Address - Phone:786-499-7962
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-04
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty