Jessica A Rodriguez
Individual provider Active NPI Behavior Technician · Irvine, CA
NPI 1033701982 · NPPES record last updated Feb 10, 2021
Key facts
- NPI
- 1033701982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-18-68536 (CA)
- Practice address
- 1063 McGaw Ave Ste 100
Irvine, CA 92614-5554 - Phone
- (714) 834-1111
- NPI assigned
- Feb 10, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-68536 | CA | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-68536 | CA | Yes |
Addresses
Primary practice location
1063 McGaw Ave Ste 100
Irvine, CA 92614-5554
Mailing address
1063 McGaw Ave Ste 100
Irvine, CA 92614-5554
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All providers in Irvine, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.