Individual provider Active NPI

Magaly Rodriguez

  • Behavior Analyst
  • Pembroke Pines, FL
National Provider Identifier
1194062943
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
17825 SW 10TH CT
Pembroke Pines, FL 33029-4420
Phone
(305) 721-5871
Fax
(305) 721-5871
NPI assigned
Jan 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X FL Primary

Addresses

Primary practice location

17825 SW 10TH CT
Pembroke Pines, FL 33029-4420

Mailing address

17825 SW 10TH CT
Pembroke Pines, FL 33029-4420
Phone (305) 721-5871

Other practice location 1

6601 SW 80th St
107
Miami, FL 33143-4661
Phone (305) 668-8644

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mestre Behavior Development, LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 1

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": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1194062943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17825 SW 10TH CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330294420",
            "telephone_number": "305-721-5871",
            "fax_number": "305-721-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17825 SW 10TH CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330294420",
            "telephone_number": "305-721-5871",
            "fax_number": "305-721-5871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6601 SW 80th St",
            "address_2": "107",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331434661",
            "country_code": "US",
            "telephone_number": "305-668-8644",
            "fax_number": "305-668-6010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MAGALY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.