Alyssa Rodrigo, CBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

CB61130478 Issued in WA

Practice address

7282 Stinson Ave Ste B
Gig Harbor, WA 98335-4930

Phone

(253) 858-5846

NPI assigned

Jul 29, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Alta Vista Integrated Life Services

  • Clinical Social Worker
  • Gig Harbor, WA
  • NPI 1538726252
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1770256299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 SIDNEY AVE APT I98",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983661969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7282 STINSON AVE STE B",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983354930",
            "telephone_number": "253-858-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGO",
        "first_name": "ALYSSA",
        "credential": "CBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CB61130478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert W. Kunkle MD, Inc PS
• Lorilie Robison, LMFT
• Carol M Rocha
• Denise Joanne Rochman, RRT
• Rocky Bay Health Care Facility
• Roger D. Johnson, DDS,PC
• Katy Alexis Rogers
• Remy Choi Rogers, DDS
• Shelby Rogers, LMFT
• Merit Sarah Rome, M.D.

• Behavior Technician in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.