Individual provider Active NPI

Ruby Stephanie Rodriguez

  • Behavior Technician
  • El Paso, TX
National Provider Identifier
1942073887
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
23307671 Issued in TX
Practice address
1514 N Zaragoza Rd Ste B4
El Paso, TX 79936-8041
Phone
(915) 257-5782
NPI assigned
Nov 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 23307671 TX Primary

Addresses

Primary practice location

1514 N Zaragoza Rd Ste B4
El Paso, TX 79936-8041

Mailing address

6284 Parakeet CT
El Paso, TX 79924-2462
Phone (915) 867-2285

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

LicenseStateTypeSpecialty
23307671TXMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Early Bird Pediatric Therapy Clinic, Inc CurrentSince Nov 5, 2023 Accepting new patients

Locations

1514 N Zaragoza Rd
Ste B4
El Paso, TX 79936
Phone (915) 229-6659

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": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1942073887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6284 PARAKEET CT",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799242462",
            "telephone_number": "915-867-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 N ZARAGOZA RD STE B4",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799368041",
            "telephone_number": "915-257-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "RUBY",
        "middle_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "23307671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.