Active NPI
Ailen Luna Rodriguez
- Behavior Technician
- Miami, FL
National Provider Identifier
1568289577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 24-376962
- Practice address
- 1043 SW 3Rd St Apt 3
Miami, FL 33130-2123 - Phone
- (786) 771-2932
- NPI assigned
- Sep 21, 2024
- Last updated
- Sep 21, 2024
- 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 Technician | 106S00000X | 24-376962 | FL | Primary |
Addresses
Primary practice location
1043 SW 3Rd St Apt 3
Miami, FL 33130-2123
Mailing address
1043 SW 3Rd St Apt 3
Miami, FL 33130-2123
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24-376962 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726876800000",
"number": "1568289577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1043 SW 3RD ST APT 3",
"city": "MIAMI",
"state": "FL",
"postal_code": "331302123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1043 SW 3RD ST APT 3",
"city": "MIAMI",
"state": "FL",
"postal_code": "331302123",
"telephone_number": "786-771-2932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNA RODRIGUEZ",
"first_name": "AILEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-21",
"last_updated": "2024-09-21",
"certification_date": "2024-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "24-376962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.