Active NPI
Diana Yasmin Rodriguez
- Behavior Analyst
- Valrico, FL
National Provider Identifier
1467732867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 2615 Ridgetop Way
Valrico, FL 33594-4226 - Phone
- (305) 890-3486
- NPI assigned
- Aug 17, 2011
- Last updated
- Feb 24, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
2615 Ridgetop Way
Valrico, FL 33594-4226
Mailing address
2615 Ridgetop Way
Valrico, FL 33594-4226
Phone (305) 890-3486
Other practice location 1
6911 Mathers Ln Apt A
Riverview, FL 33578-8513
Phone (305) 890-3486
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@brilliancets.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Current | Accepting new patients | |
| Brilliance Therapy Solutions Inc | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
-
- Community/Behavioral Health Agency
- Valrico, FL
- NPI 1326545674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614124800000",
"number": "1467732867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2615 RIDGETOP WAY",
"city": "VALRICO",
"state": "FL",
"postal_code": "335944226",
"telephone_number": "305-890-3486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 RIDGETOP WAY",
"city": "VALRICO",
"state": "FL",
"postal_code": "335944226",
"telephone_number": "305-890-3486"
}
],
"practiceLocations": [
{
"address_1": "6911 Mathers Ln Apt A",
"address_purpose": "LOCATION",
"city": "Riverview",
"state": "FL",
"postal_code": "335788513",
"country_code": "US",
"telephone_number": "305-890-3486",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "DIANA",
"middle_name": "YASMIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-17",
"last_updated": "2021-02-24",
"certification_date": "2021-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@brilliancets.org",
"affiliation": "N",
"address_1": "2615 Ridgetop Way",
"city": "Valrico",
"state": "FL",
"country_code": "US",
"postal_code": "335944226",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Valrico, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.