Active NPI
Genesis Rodriguez
- Behavior Analyst
- Riverdale, UT
National Provider Identifier
1285132274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 4934 900 W
Ste B
Riverdale, UT 84405-8440 - Phone
- (801) 935-4171
- NPI assigned
- Jan 25, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
4934 900 W
Ste B
Riverdale, UT 84405-8440
Mailing address
325 S Orchard Dr Apt A228
North Salt Lake, UT 84054-1857
Phone (719) 419-4929
Other practice location 1
5180 W Atlantic Ave Ste 114
Delray Beach, FL 33484-8103
Phone (561) 674-9996
Other practice location 2
5526 N Academy Blvd Ste 109
Colorado Springs, CO 80918-3688
Phone (719) 301-5100
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 |
|---|---|---|---|
| Chrysalis ABA Therapy Corp | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Delray Beach, FL
- NPI 1760838015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752451200000",
"number": "1285132274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 S ORCHARD DR APT A228",
"city": "NORTH SALT LAKE",
"state": "UT",
"postal_code": "840541857",
"telephone_number": "719-419-4929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4934 900 W",
"address_2": "STE B",
"city": "RIVERDALE",
"state": "UT",
"postal_code": "844058440",
"telephone_number": "801-935-4171"
}
],
"practiceLocations": [
{
"address_1": "5180 W Atlantic Ave Ste 114",
"address_purpose": "LOCATION",
"city": "Delray Beach",
"state": "FL",
"postal_code": "334848103",
"country_code": "US",
"telephone_number": "561-674-9996",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5526 N Academy Blvd Ste 109",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809183688",
"country_code": "US",
"telephone_number": "719-301-5100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "GENESIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-25",
"last_updated": "2025-07-14",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverdale, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.