Individual provider Active NPI

Jeisel Vazquez Rodriguez

  • Behavior Analyst
  • Port Saint Lucie, FL
National Provider Identifier
1700309713
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-55067 Issued in FL
Practice address
900 SW Abingdon Ave
Port Saint Lucie, FL 34953-2801
Phone
(407) 716-8652
NPI assigned
Jul 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-21-55067 FL Primary
Behavior Analyst 103K00000X 0-19-10418

Addresses

Primary practice location

900 SW Abingdon Ave
Port Saint Lucie, FL 34953-2801

Mailing address

900 SW Abingdon Ave
Port Saint Lucie, FL 34953-2801
Phone (407) 716-8652

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
Let'S DO ABA LLC Behavior Analyst CurrentSince Feb 9, 2025 Accepting new patients

Locations

1401 SE Goldtree Dr
Ste 101
Port St Lucie, FL 34952
Phone (772) 212-7539

Organizations & group practices 1

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": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1700309713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SW ABINGDON AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349532801",
            "telephone_number": "407-716-8652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SW ABINGDON AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349532801",
            "telephone_number": "407-716-8652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ RODRIGUEZ",
        "first_name": "JEISEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-55067",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "0-19-10418",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.