Active NPI
Yudeilys Rodriguez Gonzalez
- Behavior Technician
- Cape Coral, FL
National Provider Identifier
1053151720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT24-345364
- Practice address
- 1219 SE 34TH St
Cape Coral, FL 33904-4291 - Phone
- (239) 703-3502
- NPI assigned
- May 29, 2024
- Last updated
- May 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT24-345364 | FL | Primary |
Addresses
Primary practice location
1219 SE 34TH St
Cape Coral, FL 33904-4291
Mailing address
4210 Palm Tree Blvd
Cape Coral, FL 33904-8441
Phone (305) 462-0600
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT24-345364 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athena Behavior Consult | Single Specialty | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1053151720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4210 PALM TREE BLVD",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339048441",
"telephone_number": "305-462-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1219 SE 34TH ST",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339044291",
"telephone_number": "239-703-3502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ GONZALEZ",
"first_name": "YUDEILYS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-29",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT24-345364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Coral, FL
- Marikarla Rodriguez Domingez
- Irislaydis Rodriguez Dominguez
- Alejandra Rodriguez Garcia
- Lisandra B Rodriguez Garcia, RBT-24-331721
- Yanelis Rodriguez Gonzalez, RBT
- Belinda Rodriguez Hernandez, RBT
- Marialy Rodriguez Hernandez, ARNP
- Lisleidy Rodriguez Landa
- Ledi Rosa Rodriguez Magarino
- Liset Rodriguez Marrero
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.