Individual provider Active NPI

Gabrielle Elizabeth Rodriguez, BCBA

  • Behavior Analyst
  • Gretna, LA
National Provider Identifier
1396357620
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
L-624 Issued in LA
Practice address
1000 Behrman Hwy
Gretna, LA 70056-4596
Phone
(504) 265-0548
NPI assigned
Aug 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X C-071 LA
Assistant Behavior Analyst 106E00000X C-071 LA
Behavior Analyst 103K00000X L-624 LA Primary

Addresses

Primary practice location

1000 Behrman Hwy
Gretna, LA 70056-4596

Mailing address

1000 Behrman Hwy
Gretna, LA 70056-4596
Phone (504) 265-0548

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
C-071LAMDBehavioral Analyst
L-624LAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Autism Center Behavior Analyst CurrentSince Mar 28, 2021 Accepting new patients

Locations

1000 Behrman Hwy
Gretna, LA 70056
Phone (504) 265-0548

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.

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1396357620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BEHRMAN HWY",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700564596",
            "telephone_number": "504-265-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BEHRMAN HWY",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700564596",
            "telephone_number": "504-265-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "GABRIELLE",
        "middle_name": "ELIZABETH",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "C-071",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "LA",
            "license": "C-071",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "L-624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.