Individual provider Active NPI

Sonia Victoria Calderon-Rodriguez

  • Behavior Technician
  • Kissimmee, FL
National Provider Identifier
1487498135
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
106S00000X Issued in FL
Practice address
207 Park Place Blvd Ste 2
Kissimmee, FL 34741-2373
Phone
(407) 693-6577
NPI assigned
Jun 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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 106S00000X FL Primary

Addresses

Primary practice location

207 Park Place Blvd Ste 2
Kissimmee, FL 34741-2373

Mailing address

2446 Oak Mill Dr
Kissimmee, FL 34744-5388
Phone (407) 361-5502

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
106S00000XFLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
My Ba Therapy Center Inc. Past Accepting new patients
My Ba Therapy Center Inc. Past Accepting new patients
My Ba Therapy Center Inc. Past Accepting new patients

Organizations & group practices 3

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": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1487498135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2446 OAK MILL DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445388",
            "telephone_number": "407-361-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 PARK PLACE BLVD STE 2",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412373",
            "telephone_number": "407-693-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON-RODRIGUEZ",
        "first_name": "SONIA",
        "middle_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "106S00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.