Active NPI
Bryan Rodriguez, BA
- Behavior Analyst
- Placentia, CA
National Provider Identifier
1730648726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 701 W Kimberly Ave Ste 245
Placentia, CA 92870-6345 - Phone
- (714) 203-6595
- NPI assigned
- Mar 18, 2019
- Last updated
- Mar 18, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
701 W Kimberly Ave Ste 245
Placentia, CA 92870-6345
Mailing address
19661 Ridgewood PL
Yorba Linda, CA 92886-5632
Phone (714) 793-7839
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brodriquez@bloombh.com | Direct |
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
- Credentials
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552867200000",
"number": "1730648726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19661 RIDGEWOOD PL",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928865632",
"telephone_number": "714-793-7839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W KIMBERLY AVE STE 245",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928706345",
"telephone_number": "714-203-6595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "BRYAN",
"credential": "BA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-18",
"last_updated": "2019-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "brodriquez@bloombh.com",
"affiliation": "N",
"endpointDescription": "brodriquez@bloombh.com",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "701 W Kimberly Ave Ste 245",
"city": "Placentia",
"state": "CA",
"country_code": "US",
"postal_code": "928706345",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Placentia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.