Jesse Ryan Roderick, B.A

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

255 E Santa Clara St Ste 210
Arcadia, CA 91006-7233

Phone

(626) 824-0982

NPI assigned

Mar 7, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1710228374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 1/2 S VISTA BONITA AVE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917413423",
            "telephone_number": "626-806-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E SANTA CLARA ST STE 210",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067233",
            "telephone_number": "626-824-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODERICK",
        "first_name": "JESSE",
        "middle_name": "RYAN",
        "credential": "B.A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Franchesca Rocha
• Trinidad Carlos Rocha, RDA
• Alisa Kirsten Rock, N.P.
• Meredith L Rockenstein, AMFT
• Elisa Roder
• Ashley Rodriguez
• Ceani Rodriguez
• Jesmin Rodriguez
• Julia Pomsuk Rodriguez
• Daniel Roemer

• Behavior Analyst in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.