Individual provider Active NPI

Yaima Pompa Rodriguez, C.E.O

  • Behavior Analyst
  • Hialeah, FL
National Provider Identifier
1053066621
Registry record updated Feb 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
RBT-19-85826 Issued in FL
Practice address
5835 W 20TH Ave
Hialeah, FL 33012-7559
Phone
(786) 355-0007
NPI assigned
Feb 12, 2022
Last updated
Feb 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X RBT-19-85826 FL Primary

Addresses

Primary practice location

5835 W 20TH Ave
Hialeah, FL 33012-7559

Mailing address

5835 W 20TH Ave
Hialeah, FL 33012-7559
Phone (786) 355-0007

Other identifiers 1

IdentifierTypeStateIssuer
102923800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RBT-19-85826FLMDBehavioral Analyst

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644624000000",
    "number": "1053066621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5835 W 20TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127559",
            "telephone_number": "786-355-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5835 W 20TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127559",
            "telephone_number": "786-355-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMPA RODRIGUEZ",
        "first_name": "YAIMA",
        "credential": "C.E.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-12",
        "last_updated": "2022-02-12",
        "certification_date": "2022-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "RBT-19-85826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102923800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.