Active NPI
Leticia Hernandez Rodriguez, BCABA
- Assistant Behavior Analyst
- Homestead, FL
National Provider Identifier
1639667207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 0-21-12753
- Practice address
- 2615 Fairways Dr
Homestead, FL 33035-1173 - Phone
- (305) 597-3861
- Fax
- (305) 597-3863
- NPI assigned
- Apr 28, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0-21-12753 | FL | |
| Behavior Technician | 106S00000X | RBT-18-53247 | FL | |
| Assistant Behavior Analyst | 106E00000X | 0-21-12753 | FL | Primary |
Addresses
Primary practice location
2615 Fairways Dr
Homestead, FL 33035-1173
Mailing address
10453 SW 99TH Ter
Miami, FL 33176-2725
Phone (786) 202-9326
Other practice location 1
419 W 49th St Ste 210
Hialeah, FL 33012-3657
Phone (855) 832-6727
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 |
|---|---|---|---|
| RBT-18-53247 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632614400000",
"number": "1639667207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10453 SW 99TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762725",
"telephone_number": "786-202-9326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 FAIRWAYS DR",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330351173",
"telephone_number": "305-597-3861",
"fax_number": "305-597-3863"
}
],
"practiceLocations": [
{
"address_1": "419 W 49th St Ste 210",
"address_purpose": "LOCATION",
"city": "Hialeah",
"state": "FL",
"postal_code": "330123657",
"country_code": "US",
"telephone_number": "855-832-6727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ RODRIGUEZ",
"first_name": "LETICIA",
"credential": "BCABA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-28",
"last_updated": "2021-09-26",
"certification_date": "2021-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "0-21-12753",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-18-53247",
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Assistant Behavior Analyst",
"state": "FL",
"license": "0-21-12753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.