Active NPI
Roilan Illas Rodriguez
- Assistant Behavior Analyst
- Brooklyn, NY
National Provider Identifier
1376431361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- Practice address
- 1649 61St Street, St 301, 3Rd FL
Brooklyn, NY 11204-3319 - Phone
- (402) 370-0854
- NPI assigned
- Jun 26, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | Primary |
Addresses
Primary practice location
1649 61St Street, St 301, 3Rd FL
Brooklyn, NY 11204-3319
Mailing address
1649 61St Street, St 301, 3Rd FL
Brooklyn, NY 11204-3319
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751155200000",
"number": "1376431361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1649 61ST STREET, ST 301, 3RD FL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112043319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1649 61ST STREET, ST 301, 3RD FL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112043319",
"telephone_number": "402-370-0854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILLAS RODRIGUEZ",
"first_name": "ROILAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-26",
"last_updated": "2025-06-29",
"certification_date": "2025-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.