Individual provider Active NPI

Rachel Rodriguez

  • Behavior Analyst
  • Doral, FL
National Provider Identifier
1225639164
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-22-60908 Issued in FL
Practice address
2898 NW 79TH Ave
Doral, FL 33122-1033
Phone
(305) 597-3861
Fax
(305) 597-3863
NPI assigned
Nov 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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 1-22-60908 FL Primary

Addresses

Primary practice location

2898 NW 79TH Ave
Doral, FL 33122-1033

Mailing address

1950 NW 85TH Way
Pembroke Pines, FL 33024-3444
Phone (786) 370-8485

Other practice location 1

850 NW Federal Hwy Ste 173
Stuart, FL 34994-1019
Phone (772) 362-9878

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

NPI Registry JSON

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1225639164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 NW 85TH WAY",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243444",
            "telephone_number": "786-370-8485",
            "fax_number": "305-597-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2898 NW 79TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221033",
            "telephone_number": "305-597-3861",
            "fax_number": "305-597-3863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 NW Federal Hwy Ste 173",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349941019",
            "country_code": "US",
            "telephone_number": "772-362-9878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-06",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-22-60908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.