Jay Rodriguez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-21-158883 Issued in MO

Practice address

3048 S Clifton Ave Ste 112
Springfield, MO 65807-6045

Phone

(417) 818-5784

NPI assigned

Mar 15, 2021

Sex

Male

Sole proprietor

No

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.

• My World ABA LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Springfield, MO
  • NPI 1508415175
  NPD

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1790360410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3048 S CLIFTON AVE STE 112",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658076045",
            "telephone_number": "417-818-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3048 S CLIFTON AVE STE 112",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658076045",
            "telephone_number": "417-818-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MO",
            "license": "RBT-21-158883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelbi Lyn Rodman, MSN, FNP-C
• Jose Alfonso Rodriguez Claramunt
• Alexandra Rodriguez, DMD, MS
• Casey Brooke Rodriguez
• Dawn Marie Rodriguez, PLPC, PSY.D.
• Joseph Rodriguez
• Diana Lynn Roe, MD
• Kristin Wargo Roeder
• Rachel Beth Roerick, DNP, FNP-C
• Ashlyn Erica Shea Roesch

• Behavior Technician in Springfield, MO
• Providers in Springfield, MO by specialty
• Behavior Technician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.