Individual provider Active NPI

Amanda Valdes Rodriguez

  • Behavior Technician
  • Lake Worth Beach, FL
National Provider Identifier
1730883877
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-264501 Issued in FL
Practice address
2119 10TH Ave N
Lake Worth Beach, FL 33461-3345
Phone
(561) 444-2814
Fax
(561) 444-2458
NPI assigned
Mar 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-23-264501 FL Primary

Addresses

Primary practice location

2119 10TH Ave N
Lake Worth Beach, FL 33461-3345

Mailing address

3220 Dolan Rd
Palm Springs, FL 33406-7924
Phone (561) 358-0354

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

LicenseStateTypeSpecialty
RBT-23-264501FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Minds Behavioral Health, LLC. PastSince Apr 1, 2023 Accepting new patients

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": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1730883877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 DOLAN RD",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334067924",
            "telephone_number": "561-358-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 10TH AVE N",
            "city": "LAKE WORTH BEACH",
            "state": "FL",
            "postal_code": "334613345",
            "telephone_number": "561-444-2814",
            "fax_number": "561-444-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES RODRIGUEZ",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-264501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.