Individual provider Active NPI

Robyn Marie Kolodziej, M.ED. R.B.T.

  • Behavior Technician
  • St Petersburg, FL
National Provider Identifier
1073831400
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-17-41692 Issued in FL
Practice address
3100 75TH St N
St Petersburg, FL 33710-2326
Phone
(727) 345-9111
NPI assigned
May 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-17-41692 FL Primary

Addresses

Primary practice location

3100 75TH St N
St Petersburg, FL 33710-2326

Mailing address

14309 Teasdale Ave
Hudson, FL 34667-8582
Phone (978) 210-7998

Other practice location 1

460 Totten Pond Rd
Suite 300
Waltham, MA 02451-1991
Phone (781) 895-3200

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
RBT-17-41692FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
T.B.C. Ventures LLC Past Accepting new patients
Lampert'S Home Therapy, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1073831400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14309 TEASDALE AVE",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346678582",
            "telephone_number": "978-210-7998",
            "fax_number": "844-220-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 75TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337102326",
            "telephone_number": "727-345-9111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 Totten Pond Rd",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Waltham",
            "state": "MA",
            "postal_code": "024511991",
            "country_code": "US",
            "telephone_number": "781-895-3200",
            "fax_number": "781-895-3226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLODZIEJ",
        "first_name": "ROBYN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.ED. R.B.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-17-41692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.