Individual provider Active NPI

Leticia Hernandez Rodriguez, BCABA

  • Assistant Behavior Analyst
  • Homestead, FL
National Provider Identifier
1639667207
Registry record updated Sep 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-21-12753 Issued in FL
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

Updated by the provider on Sep 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0-21-12753 FL
Behavior Technician 106S00000X RBT-18-53247 FL
Assistant Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
RBT-18-53247FLMDBehavior 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.

Verify at the official NPI Registry.