Active NPI
Evelin Wuendy Rodriguez Rosabales
- Behavior Technician
- Pompano Beach, FL
National Provider Identifier
1619775806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 1040515
- Practice address
- 2941 NE 9TH Ter
Pompano Beach, FL 33064-5346 - Phone
- (954) 461-0728
- NPI assigned
- Mar 4, 2025
- 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 | 1040515 | FL | Primary |
Addresses
Primary practice location
2941 NE 9TH Ter
Pompano Beach, FL 33064-5346
Mailing address
2941 NE 9TH Ter
Pompano Beach, FL 33064-5346
Phone (954) 461-0728
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 |
|---|---|---|---|
| 1040515 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741046400000",
"number": "1619775806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2941 NE 9TH TER",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330645346",
"telephone_number": "954-461-0728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2941 NE 9TH TER",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330645346",
"telephone_number": "954-461-0728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ ROSABALES",
"first_name": "EVELIN",
"middle_name": "WUENDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-04",
"last_updated": "2025-03-04",
"certification_date": "2025-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "1040515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.