Israel Rodriguez

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BCBA-1-19-35719

Practice address

120 Theresa Ave
American Canyon, CA 94503-9654

Phone

(707) 561-0134

NPI assigned

Mar 20, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Illuminating Minds LLC

  • Behavior Analyst
  • Fairfield, CA
  • NPI 1336849447
  NPD Authorized official
• McGrew Behavioral Health Services, Inc.

  • Behavior Analyst
  • American Canyon, CA
  • NPI 1689191595
  NPD (past)

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1235633751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 THERESA AVE",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945039654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 THERESA AVE",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945039654",
            "telephone_number": "707-561-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ISRAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "BCBA-1-19-35719",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": "BCBA-1-19-35719",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-16-20162",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne P. Rivera, DDS
• William Rivera
• Rochelle Manangkil DDS Inc.
• Angelica Rodrigues
• Jasmin Rodrigues
• Angelica Romero
• Victor Rubio
• Yasmine Marie Rubio
• Ryan Stilson Chiropractic Inc
• Safeway Inc

• Behavior Analyst in American Canyon, CA
• Providers in American Canyon, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.