Active NPI
Dani Rodriguez, BCBA
- Behavior Analyst
- San Diego, CA
National Provider Identifier
1942653381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 11519723
- Practice address
- 3435 Camino del Rio S
San Diego, CA 92108-3902 - Phone
- (877) 264-6747
- Fax
- (877) 539-7300
- NPI assigned
- Jul 21, 2016
- 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 Analyst | 103K00000X | 11519723 | CA | Primary |
Addresses
Primary practice location
3435 Camino del Rio S
San Diego, CA 92108-3902
Mailing address
36 Monterey Blvd
Suite a
San Francisco, CA 94131-3235
Phone (877) 264-6747
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 |
|---|---|---|---|
| 11519723 | CA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kyo Autism Therapy, LLC | Behavior Analyst | Past | Accepting new patients |
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.
-
dba Gateway Learning Group, LLC
- Community/Behavioral Health Agency
- Daly City, CA
- NPI 1720212749
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469059200000",
"number": "1942653381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 MONTEREY BLVD",
"address_2": "SUITE A",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941313235",
"telephone_number": "877-264-6747",
"fax_number": "877-539-7730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3435 CAMINO DEL RIO S",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083902",
"telephone_number": "877-264-6747",
"fax_number": "877-539-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "DANI",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-21",
"last_updated": "2016-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "11519723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.