Individual provider Active NPI

Rosaura Valdes Rodriguez

  • Behavior Technician
  • West Palm Beach, FL
National Provider Identifier
1164167524
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
22-211817 Issued in FL
Practice address
1490 S Military TRL Ste 7
West Palm Beach, FL 33415-9141
Phone
(561) 323-2552
NPI assigned
Apr 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 22-211817 FL Primary

Addresses

Primary practice location

1490 S Military TRL Ste 7
West Palm Beach, FL 33415-9141

Mailing address

264 Greenbrier Dr
Lake Worth, FL 33461-1921
Phone (561) 699-4386

Other practice location 1

1521 Forest Hill Blvd Ste 3
Lake Clarke Shores, FL 33406-6031
Phone (561) 444-2814

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

LicenseStateTypeSpecialty
22-211817FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Rainbow of Life Behavioral Health Center, LLC PastSince Aug 1, 2022 Accepting new patients
Brighter Minds Behavioral Health, LLC. PastSince Aug 1, 2022 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": "1651276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1164167524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 GREENBRIER DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334611921",
            "telephone_number": "561-699-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 S MILITARY TRL STE 7",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334159141",
            "telephone_number": "561-323-2552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1521 Forest Hill Blvd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Lake Clarke Shores",
            "state": "FL",
            "postal_code": "334066031",
            "country_code": "US",
            "telephone_number": "561-444-2814",
            "fax_number": "561-444-2458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALDES RODRIGUEZ",
        "first_name": "ROSAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-30",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "22-211817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.