Alexandria Helen Rodriguez, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-27502 Issued in NJ

Practice address

12 Lincoln Blvd
Emerson, NJ 07630-1175

Phone

(201) 605-6727

NPI assigned

Mar 6, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Family Treehouse ABA LLC

  • Behavior Analyst
  • Highland Lakes, NJ
  • NPI 1366055121
  NPD

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1083249395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 HAMILTON PL APT C2",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013665",
            "telephone_number": "201-247-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 LINCOLN BLVD",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301175",
            "telephone_number": "201-605-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ALEXANDRIA",
        "middle_name": "HELEN",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-17-27502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Hackensack",
            "affiliation": "N",
            "address_1": "12 Lincoln Blvd",
            "city": "Emerson",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076301175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deirdre Anne Rifenburgh, D.P.T.
• Robert Pearson DO PA
• Robert S.Walsky MD, PA
• Robert T. Martini D.D.S. P.a.
• Melanie M. Robles-Jain, NP
• Christine M. Roque-Dang, DO
• Maria Christina Rosalie, M.D.
• Erica Michelle Rosenbaum, MD
• Irwin R Rosenberg, MD
• Samantha Rosenzweig, D.P.M.

• Behavior Analyst in Emerson, NJ
• Providers in Emerson, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.