Active NPI
Roodlee Y Gaudin, RBT
- Behavior Technician
- Union, NJ
National Provider Identifier
1083128383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-17-29334
- Practice address
- 1050 Galloping Hill Rd
Union, NJ 07083-7983 - Phone
- (908) 686-1505
- NPI assigned
- Nov 22, 2017
- Sex
- Male
- Sole proprietor
- No
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 | RBT-17-29334 | NJ | Primary |
Addresses
Primary practice location
1050 Galloping Hill Rd
Union, NJ 07083-7983
Mailing address
118 Monroe St
Roselle, NJ 07203-1324
Phone (908) 397-9894
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 |
|---|---|---|---|
| RBT-17-29334 | NJ | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511308800000",
"number": "1083128383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 MONROE ST",
"city": "ROSELLE",
"state": "NJ",
"postal_code": "072031324",
"telephone_number": "908-397-9894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 GALLOPING HILL RD",
"city": "UNION",
"state": "NJ",
"postal_code": "070837983",
"telephone_number": "908-686-1505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUDIN",
"first_name": "ROODLEE",
"middle_name": "Y",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-22",
"last_updated": "2017-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NJ",
"license": "RBT-17-29334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Union, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.