Individual provider Active NPI

Idalma Del Rosario Allende Rodriguez

  • Behavior Technician
  • Hialeah, FL
National Provider Identifier
1396330734
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
20-140018 Issued in FL
Practice address
1555 W 44TH PL Apt 104
Hialeah, FL 33012-7113
Phone
(786) 552-2217
NPI assigned
Mar 8, 2021
Last updated
Apr 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 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 20-140018 FL Primary

Addresses

Primary practice location

1555 W 44TH PL Apt 104
Hialeah, FL 33012-7113

Mailing address

1555 W 44TH PL Apt 104
Hialeah, FL 33012-7113
Phone (786) 552-2217

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
20-140018FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Aye Counselor & Behavior Therapy Inc Single Specialty PastSince Mar 1, 2021 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1396330734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 W 44TH PL APT 104",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127113",
            "telephone_number": "786-552-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 W 44TH PL APT 104",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127113",
            "telephone_number": "786-552-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLENDE RODRIGUEZ",
        "first_name": "IDALMA",
        "middle_name": "DEL ROSARIO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "20-140018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.