Individual provider Active NPI

Lisset Rodriguez, BCABA

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1871940403
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
2141 SW 1St St Ste 103
Miami, FL 33135-1695
Phone
(305) 644-6024
Fax
(305) 644-6025
NPI assigned
May 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 106E00000X
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

2141 SW 1St St Ste 103
Miami, FL 33135-1695

Mailing address

8808 NW 110TH St
Hialeah Gardens, FL 33018-4545
Phone (786) 234-4597

Other practice location 1

16201 SW 95th Ave Ste 103
Miami, FL 33157-3459
Phone (305) 506-4636

Other practice location 2

3625 NW 82nd Ave Ste 202
Doral, FL 33166-6652
Phone (786) 953-8845

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coral CMHC Inc Single Specialty CurrentSince Sep 20, 2020 Accepting new patients

Locations

2141 SW 1st St
Ste 103
Miami, FL 33135
Phone (305) 644-6024

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1871940403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8808 NW 110TH ST",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184545",
            "telephone_number": "786-234-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 SW 1ST ST STE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351695",
            "telephone_number": "305-644-6024",
            "fax_number": "305-644-6025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16201 SW 95th Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331573459",
            "country_code": "US",
            "telephone_number": "305-506-4636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3625 NW 82nd Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331666652",
            "country_code": "US",
            "telephone_number": "786-953-8845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "LISSET",
        "credential": "BCABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "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 Nov 4, 2020; 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.