Individual provider Active NPI

Daniella Ruth Cavanaugh-Rouse, RBT

  • Behavior Analyst
  • Rockville, MD
National Provider Identifier
1639841034
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
RBT-19-80415 Issued in MD
Practice address
15245 Shady Grove Rd Ste 320
Rockville, MD 20850-6280
Phone
(301) 882-6060
Fax
(240) 204-6012
NPI assigned
Oct 4, 2021
Last updated
Oct 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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 RBT-19-80415 MD Primary

Addresses

Primary practice location

15245 Shady Grove Rd Ste 320
Rockville, MD 20850-6280

Mailing address

19439 Brassie PL Apt 101
Gaithersburg, MD 20886-1935
Phone (240) 620-4325

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-19-80415MDMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1639841034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19439 BRASSIE PL APT 101",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208861935",
            "telephone_number": "240-620-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15245 SHADY GROVE RD STE 320",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506280",
            "telephone_number": "301-882-6060",
            "fax_number": "240-204-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAUGH-ROUSE",
        "first_name": "DANIELLA",
        "middle_name": "RUTH",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "RBT-19-80415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.