Active NPI
David Orlando Rodriguez Jr.
- Behavior Technician
- Worcester, MA
National Provider Identifier
1851127864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 22-241976
- Practice address
- 345 Greenwood St
Worcester, MA 01607-1753 - Phone
- (508) 363-0201
- NPI assigned
- Sep 9, 2024
- Last updated
- Sep 9, 2024
- Sex
- Male
- 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 | 22-241976 | GA | Primary |
Addresses
Primary practice location
345 Greenwood St
Worcester, MA 01607-1753
Mailing address
395 Wilbraham Rd
Hampden, MA 01036-9716
Phone (774) 242-7827
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 |
|---|---|---|---|
| 22-241976 | GA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Applied Behavioral Instruction | Current | Accepting new patients |
Locations
345 Greenwood St
Worcester, MA 01607
Phone (508) 363-0201
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Worcester, MA
- NPI 1639784705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1851127864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "395 WILBRAHAM RD",
"city": "HAMPDEN",
"state": "MA",
"postal_code": "010369716",
"telephone_number": "774-242-7827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 GREENWOOD ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016071753",
"telephone_number": "508-363-0201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "DAVID",
"middle_name": "ORLANDO",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-09",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "22-241976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.