Active NPI
Marcela Rodriguez, RBT
- Behavior Technician
- Savannah, GA
National Provider Identifier
1720800378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 22-229221
- Practice address
- Marcela Rodriguez Proud Moments
17 Park of Commerce Blvd
Savannah, GA 31405 - Phone
- (912) 228-3714
- NPI assigned
- Oct 25, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 22-229221 | NV | Primary |
Addresses
Primary practice location
Marcela Rodriguez Proud Moments
17 Park of Commerce Blvd
Savannah, GA 31405
Mailing address
Marcela Rodriguez Proud Moments
17 Park of Commerce Blvd
Savannah, GA 31405
Phone (912) 228-3714
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22-229221 | NV | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1720800378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MARCELA RODRIGUEZ PROUD MOMENTS",
"address_2": "17 PARK OF COMMERCE BLVD",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "31405",
"telephone_number": "912-228-3714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MARCELA RODRIGUEZ PROUD MOMENTS",
"address_2": "17 PARK OF COMMERCE BLVD",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "31405",
"telephone_number": "912-228-3714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MARCELA",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-25",
"last_updated": "2024-10-25",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NV",
"license": "22-229221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.