Active NPI
Kira Marie Rocha, RBT-17-34679
- Behavior Technician
- Rockford, IL
National Provider Identifier
1831691153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-17-34679
- Practice address
- 3223 Maryland Rd
Rockford, IL 61108-5919 - Phone
- (815) 218-6048
- NPI assigned
- Mar 2, 2018
- Last updated
- Mar 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-17-34679 | IL | Primary |
Addresses
Primary practice location
3223 Maryland Rd
Rockford, IL 61108-5919
Mailing address
3223 Maryland Rd
Rockford, IL 61108-5919
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-17-34679 | IL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519948800000",
"number": "1831691153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3223 MARYLAND RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611085919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3223 MARYLAND RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611085919",
"telephone_number": "815-218-6048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCHA",
"first_name": "KIRA",
"middle_name": "MARIE",
"credential": "RBT-17-34679",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-02",
"last_updated": "2018-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IL",
"license": "RBT-17-34679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockford, IL
- Ann Marie Robles, APRN, NP-C
- Christine Robles
- Tiffany Kay Roby, DNP, APRN, FNP-BC
- Rocfkford Psychiatric Medical Services
- Ethan G Rocha, DPT
- Manish H Rochwani, M.D.
- Rock River Counseling Center
- Rock River Health Care, LLC
- Rock River Oral Surgery & Dental Implant Center LLC
- Rock Valley Anesthesiologists, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.