Jessica Castro Rodriguez
Individual provider Active NPI Behavior Technician · Loxahatchee, FL
NPI 1255158366 · NPPES record last updated Feb 7, 2025
Key facts
- NPI
- 1255158366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 24375316 (FL)
- Practice address
- 14770 63Rd CT N
Loxahatchee, FL 33470-4578 - Phone
- (561) 352-7408
- NPI assigned
- Sep 21, 2024
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24375316 | FL | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 24375316 | FL | Yes |
Addresses
Primary practice location
14770 63Rd CT N
Loxahatchee, FL 33470-4578
Mailing address
14770 63Rd CT N
Loxahatchee, FL 33470-4578
Phone (561) 352-7408
Other providers in Loxahatchee, FL
- Cameron Spine LLC
- Caring Palms Group Home, LLC
- Heather Marlise Carmichael
- Timothy Craig Carter
- Julio Cesar Castellanos
- Center for Neurological Disorders PA
- Alejandra Reyna Ceron
- Chancellor Services LLC.
- Kim Chancellor
- Michael J Chaparro
All providers in Loxahatchee, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.