Active NPI
Raquel Joana Rodriguez
- Behavior Technician
- Murray, UT
National Provider Identifier
1265997548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 111 E 5600 S Ste 110
Murray, UT 84107-8153 - Phone
- (866) 375-2437
- NPI assigned
- Jan 31, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary | ||
| Assistant Behavior Analyst | 106E00000X |
Addresses
Primary practice location
111 E 5600 S Ste 110
Murray, UT 84107-8153
Mailing address
111 E 5600 S Ste 110
Murray, UT 84107-8153
Phone (866) 375-2437
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A.G.E.S. Learning Solutions, LLC | Single Specialty | Current | Accepting new patients |
| Aultruism, Inc. | Single Specialty | Past | Accepting new patients |
Locations
111 E 5600 S
Ste 110
Murray, UT 84107
Phone (385) 388-8256
Organizations & group practices 2
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": "1548892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1265997548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E 5600 S STE 110",
"city": "MURRAY",
"state": "UT",
"postal_code": "841078153",
"telephone_number": "866-375-2437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E 5600 S STE 110",
"city": "MURRAY",
"state": "UT",
"postal_code": "841078153",
"telephone_number": "866-375-2437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "RAQUEL",
"middle_name": "JOANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-31",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
},
{
"code": "106E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.