Individual provider Active NPI

Juan Manuel Rodriguez-Zarmienta

  • Behavior Technician
  • Beaverton, OR
National Provider Identifier
1215594189
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
9912953 Issued in OR
Practice address
6200 SW Arctic Dr
Beaverton, OR 97005-9447
Phone
(503) 224-2184
NPI assigned
May 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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 9912953 OR Primary

Addresses

Primary practice location

6200 SW Arctic Dr
Beaverton, OR 97005-9447

Mailing address

14443 SW Teal Blvd Apt 66B
Beaverton, OR 97008-4505
Phone (971) 300-5440

Other practice location 1

14443 SW Teal Blvd Apt 66B
Beaverton, OR 97008-4505
Phone (971) 300-5440

Other practice location 2

6200 SW Arctic Dr
Beaverton, OR 97005-9447
Phone (503) 224-2184

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
9912953ORMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1215594189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14443 SW TEAL BLVD APT 66B",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970084505",
            "telephone_number": "971-300-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SW ARCTIC DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970059447",
            "telephone_number": "503-224-2184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14443 SW Teal Blvd Apt 66B",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970084505",
            "country_code": "US",
            "telephone_number": "971-300-5440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6200 SW Arctic Dr",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970059447",
            "country_code": "US",
            "telephone_number": "503-224-2184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ-ZARMIENTA",
        "first_name": "JUAN",
        "middle_name": "MANUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OR",
            "license": "9912953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.