Provider Demographics
NPI:1538420302
Name:RODRIGUEZ, CINDY (MS ED, TSHH, BCBA)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:MS ED, TSHH, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6843 BURNS ST APT A5
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-5083
Mailing Address - Country:US
Mailing Address - Phone:718-520-2366
Mailing Address - Fax:718-520-2366
Practice Address - Street 1:16216 UNION TPKE
Practice Address - Street 2:STE. 303
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11366-1958
Practice Address - Country:US
Practice Address - Phone:718-264-7250
Practice Address - Fax:718-264-7922
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist