Individual provider Active NPI

Joelle Rodriguez, MED, BCBA, LBA

  • Behavior Analyst
  • Honolulu, HI
National Provider Identifier
1851664957
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BA-3 Issued in HI
Practice address
1050 Lunalilo St Apt 1205
Honolulu, HI 96822-3974
Phone
(808) 779-3566
Fax
(877) 522-8210
NPI assigned
Feb 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BA-3 HI Primary

Addresses

Primary practice location

1050 Lunalilo St Apt 1205
Honolulu, HI 96822-3974

Mailing address

1050 Lunalilo St Apt 1205
Honolulu, HI 96822-3974
Phone (808) 779-3566

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
BA-3HIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
En Fleur Behavior Analysis, LLC Behavior Analyst CurrentSince Apr 25, 2021 Accepting new patients
En Fleur Behavior Analysis, LLC Behavior Analyst Current Accepting new patients
Fleurish and Grow CurrentSince Jul 7, 2024 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1851664957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 LUNALILO ST APT 1205",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968223974",
            "telephone_number": "808-779-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 LUNALILO ST APT 1205",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968223974",
            "telephone_number": "808-779-3566",
            "fax_number": "877-522-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JOELLE",
        "credential": "MED, BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-21",
        "last_updated": "2023-05-22",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "BA-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.