Individual provider Active NPI

Yulietys Rodriguez, RBT

  • Behavior Technician
  • Cape Coral, FL
National Provider Identifier
1316522105
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-18-70259 Issued in FL
Practice address
19 Del Prado Blvd N
Cape Coral, FL 33909-6307
Phone
(239) 224-2498
NPI assigned
Mar 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-18-70259 FL Primary

Addresses

Primary practice location

19 Del Prado Blvd N
Cape Coral, FL 33909-6307

Mailing address

120 SE 23Rd St
Cape Coral, FL 33990-4358
Phone (786) 553-2992

Other identifiers 1

IdentifierTypeStateIssuer
RBT-18-70259MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL yulietysrodriguez@gmail.com Other

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

State licenses

LicenseStateTypeSpecialty
RBT-18-70259FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1316522105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SE 23RD ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339904358",
            "telephone_number": "786-553-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 DEL PRADO BLVD N",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339096307",
            "telephone_number": "239-224-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "YULIETYS",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-18-70259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RBT-18-70259",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "yulietysrodriguez@gmail.com",
            "affiliation": "N",
            "endpointDescription": "yulietysrodriguez@gmail.com",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "for direct email",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "19 Del Prado Blvd N",
            "city": "Cape Coral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339096307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.