Celeste Rodriguez
Individual provider Active NPI Behavior Analyst · Anthony, TX
NPI 1326349754 · NPPES record last updated Nov 17, 2010
Key facts
- NPI
- 1326349754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 103K00000X (NM)
- Practice address
- 225 Poplar St Apt 216
Anthony, TX 79821-7313 - Phone
- (915) 204-7908
- NPI assigned
- Nov 17, 2010
- Sex
- Female
- 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 |
|---|---|---|---|
| 103K00000X | NM | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 103K00000X | NM | Yes |
Addresses
Primary practice location
225 Poplar St Apt 216
Anthony, TX 79821-7313
Mailing address
225 Poplar St Apt 216
Anthony, TX 79821-7313
Other providers in Anthony, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2010. 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.