Active NPI
Brigitta Rodriguez
- Behavior Technician
- Jesup, GA
National Provider Identifier
1710762190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1582 E Plum St
Jesup, GA 31546-3202 - Phone
- (912) 402-4481
- NPI assigned
- Aug 25, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary | ||
| Technician | 374700000X |
Addresses
Primary practice location
1582 E Plum St
Jesup, GA 31546-3202
Mailing address
1582 E Plum St
Jesup, GA 31546-3202
Phone (912) 402-4481
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1710762190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1582 E PLUM ST",
"city": "JESUP",
"state": "GA",
"postal_code": "315463202",
"telephone_number": "912-402-4481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1582 E PLUM ST",
"city": "JESUP",
"state": "GA",
"postal_code": "315463202",
"telephone_number": "912-402-4481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "BRIGITTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-25",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
},
{
"code": "374700000X",
"taxonomy_group": "",
"desc": "Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jesup, GA
- Lakecia Monique Reynolds
- Richard J. Lewis, D.O., P.C. (Peachtree Obstetrics and Gynecology)
- Robert a Pumpelly IV MD PC
- Robert M Patacsil DO PC (Robert M Patacsil DO)
- Hannah Carters Roberts, PA-C
- Yanisis Romero, DMD, CAGS, MSD
- Rooted in Pearls LLC
- Steven Austin Roth, MD
- William Scott Rowell, PAC
- Lindsey Ann Rowley, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.