Jennifer Hannah Rodriguez
Individual provider Active NPI Behavior Analyst · Fate, TX
NPI 1740804319 · NPPES record last updated Jul 22, 2025
Key facts
- NPI
- 1740804319
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-25-82435 (TX)
- Practice address
- 1033 N Churchill Dr
Fate, TX 75189-2303 - Phone
- (303) 868-0007
- NPI assigned
- May 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-25-82435 | TX | Yes |
Addresses
Primary practice location
1033 N Churchill Dr
Fate, TX 75189-2303
Mailing address
1033 N Churchill Dr
Fate, TX 75189-2303
Phone (303) 868-0007
Other providers in Fate, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.