Ingrid Giseth Rodriguez, BCBA
Individual provider Active NPI Behavior Analyst · Fords, NJ
NPI 1689334682 · NPPES record last updated Apr 15, 2025
Key facts
- NPI
- 1689334682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 15BC00037800 (NJ)
- Practice address
- 85 Ford Ave
Fords, NJ 08863-1652 - Phone
- (908) 220-7986
- NPI assigned
- Dec 19, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15BC00037800 | NJ | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Analyst | 103K00000X | 15BC00037800 | NJ | Yes |
Addresses
Primary practice location
85 Ford Ave
Fords, NJ 08863-1652
Mailing address
85 Ford Ave
Fords, NJ 08863-1652
Other providers in Fords, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.