Individual provider Active NPI

Yordanis Rodriguez la O

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1780225276
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-49439 Issued in FL
Practice address
15599 SW 106TH LN Apt 1208
Miami, FL 33196-3504
Phone
(702) 888-5481
NPI assigned
Oct 5, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X 19-89988 FL
Behavior Analyst 103K00000X 1-21-49439 FL Primary

Addresses

Primary practice location

15599 SW 106TH LN Apt 1208
Miami, FL 33196-3504

Mailing address

15599 SW 106TH LN Apt 1208
Miami, FL 33196-3504
Phone (702) 888-5481

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
19-89988FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1570233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1780225276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15599 SW 106TH LN APT 1208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331963504",
            "telephone_number": "702-888-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15599 SW 106TH LN APT 1208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331963504",
            "telephone_number": "702-888-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ LA O",
        "first_name": "YORDANIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-05",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "19-89988",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-49439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.