Individual provider Active NPI

Ali Josue Mijares Rodriguez

  • Behavior Technician
  • Tampa, FL
National Provider Identifier
1689528747
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
26514686 Issued in FL
Practice address
11229 Madison Park Dr
Tampa, FL 33625-3996
Phone
(850) 485-2928
NPI assigned
Feb 25, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 26514686 FL Primary

Addresses

Primary practice location

11229 Madison Park Dr
Tampa, FL 33625-3996

Mailing address

11229 Madison Park Dr # 11229
Tampa, FL 33625-3996
Phone (850) 845-2928

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
26514686FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1771977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1689528747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11229 MADISON PARK DR # 11229",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253996",
            "telephone_number": "850-845-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11229 MADISON PARK DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253996",
            "telephone_number": "850-485-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIJARES RODRIGUEZ",
        "first_name": "ALI",
        "middle_name": "JOSUE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-02-25",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "26514686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.