Individual provider Active NPI

Liset Rodriguez Marrero

  • Behavior Analyst
  • Cape Coral, FL
National Provider Identifier
1639696966
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1221 SW 20TH St
Cape Coral, FL 33991-3202
Phone
(786) 403-4105
NPI assigned
Aug 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X FL Primary

Addresses

Primary practice location

1221 SW 20TH St
Cape Coral, FL 33991-3202

Mailing address

1221 SW 20TH St
Cape Coral, FL 33991-3202
Phone (786) 403-4105

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

OrganizationSpecialtyStatusNew patients
Ownlights ABA Services Corp Behavior Analyst CurrentSince Aug 6, 2023 Accepting new patients
ABA for Life Behavioral Solutions Inc Behavior Analyst CurrentSince Aug 6, 2023 Accepting new patients
Ana Ansin, Inc Behavior Analyst Past Accepting new patients

Locations

4706 Chiquita Blvd S
Ste 200
Cape Coral, FL 33914
Phone (239) 834-9333

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1639696966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 SW 20TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339913202",
            "telephone_number": "786-403-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 SW 20TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339913202",
            "telephone_number": "786-403-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ MARRERO",
        "first_name": "LISET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.

Verify at the official NPI Registry.