Active NPI
Michelle Rodriguez
- Behavior Technician
- Rancho Cucamonga, CA
National Provider Identifier
1609393776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 10261 Trademark St Ste C
Rancho Cucamonga, CA 91730-5805 - Phone
- (909) 317-8499
- Fax
- (909) 614-8578
- NPI assigned
- Aug 29, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
10261 Trademark St Ste C
Rancho Cucamonga, CA 91730-5805
Mailing address
1950 Market St
Riverside, CA 92501-1720
Phone (951) 530-5900
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ilearn Behavioral Strategies, Inc. | Current | Accepting new patients | |
| Ilearn Behvavioral Stratergires Inc | Behavior Technician | Current | Accepting new patients |
| Childnet Youth and Family Services, Inc. | Case Manager/Care Coordinator | Past | Accepting new patients |
Locations
10261 Trademark St
Ste C
Rch Cucamonga, CA 91730
Phone (909) 317-8499
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.
-
- Behavior Analyst
- Rancho Cucamonga, CA
- NPI 1760073118
-
- Behavior Technician
- Rancho Cucamonga, CA
- NPI 1780397612
-
- Community/Behavioral Health Agency
- Riverside, CA
- NPI 1275991465
Case Manager/Care Coordinator
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681344000000",
"number": "1609393776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 MARKET ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925011720",
"telephone_number": "951-530-5900",
"fax_number": "951-530-5945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10261 TRADEMARK ST STE C",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917305805",
"telephone_number": "909-317-8499",
"fax_number": "909-614-8578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-29",
"last_updated": "2023-04-13",
"certification_date": "2023-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.