Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ivory Rodriguez

Individual provider Behavior Technician · NPI 1053157883

Ivory Rodriguez is a Behavior Technician in Waconia, Minnesota. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

138 Stacy Cir
Waconia, MN 55387-9722
Phone: (952) 213-1541
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1309 Oak Ave Ste 205, Waconia, MN 55387-1080 — (952) 213-1541

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1053157883
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 2, 2024
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024
Mailing address138 Stacy Cir, Waconia, MN 55387-9722

Other providers in Waconia