Timothy David Rodriguez, RBT

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-25-83992 Issued in FL

Practice address

87009 Professional Way
Yulee, FL 32097-3400

Phone

(904) 849-7179

NPI assigned

Sep 24, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Victorious Learning, LLC

  • Behavior Analyst
  • Yulee, FL
  • NPI 1427460161
  NPD
• Applied Behavioral Strategies, LLC

  • Behavior Analyst
  • Fairfield, CT
  • NPI 1396048583
  NPD (past)

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1104433051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96134 SOMERSET DR APT 804",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320340902",
            "telephone_number": "904-826-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87009 PROFESSIONAL WAY",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320973400",
            "telephone_number": "904-849-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "TIMOTHY",
        "middle_name": "DAVID",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-24",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-25-83992",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "20-136762",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Scott Robertson, PHARMD
• Katrina Robinson Robinson Wheeler
• Carolyn Grace Robinson, PHARM.D.
• Tatiana P Rocha, DMD
• Angelica Marie Rodriguez
• Danielle Rollins
• Hannah Rugani
• Amanda Salzburg
• Elizabeth Mae Sauerbrei
• Tina Adrianna Scannell, LMHC

• Behavior Analyst in Yulee, FL
• Providers in Yulee, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.