Active NPI
Diant'Ha Yanice Rodriguez
- Behavior Technician
- Quincy, MA
National Provider Identifier
1508579731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 234 Copeland St FL 4
Quincy, MA 02169-4082 - Phone
- (617) 658-5610
- NPI assigned
- Jan 3, 2023
- Last updated
- Jan 3, 2023
- Sex
- Female
- Sole proprietor
- No
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 Technician | 106S00000X | NU | Primary |
Addresses
Primary practice location
234 Copeland St FL 4
Quincy, MA 02169-4082
Mailing address
32 Lansdowne St Apt 3
Brockton, MA 02301-2347
Other practice location 1
109 Oak St # G20
Newton, MA 02464-1492
Phone (617) 658-5611
Other practice location 2
340 Turnpike St # 3D
Canton, MA 02021-2700
Phone (781) 619-1500
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": "1672704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672704000000",
"number": "1508579731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 LANSDOWNE ST APT 3",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023012347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 COPELAND ST FL 4",
"city": "QUINCY",
"state": "MA",
"postal_code": "021694082",
"telephone_number": "617-658-5610"
}
],
"practiceLocations": [
{
"address_1": "109 Oak St # G20",
"address_purpose": "LOCATION",
"city": "Newton",
"state": "MA",
"postal_code": "024641492",
"country_code": "US",
"telephone_number": "617-658-5611",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "340 Turnpike St # 3D",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "MA",
"postal_code": "020212700",
"country_code": "US",
"telephone_number": "781-619-1500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "DIANT'HA",
"middle_name": "YANICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-03",
"last_updated": "2023-01-03",
"certification_date": "2022-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.