Individual provider Active NPI

Melissa Rodriguez

  • Behavior Analyst
  • Coral Springs, FL
National Provider Identifier
1972951564
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1262833235 Issued in FL
Practice address
11100 NW 24TH St
Coral Springs, FL 33065-3645
Phone
(786) 202-0414
NPI assigned
May 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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 1262833235 FL Primary

Addresses

Primary practice location

11100 NW 24TH St
Coral Springs, FL 33065-3645

Mailing address

11100 NW 24TH St
Coral Springs, FL 33065-3645
Phone (786) 202-0414

Other practice location 1

11441 SW 20th St
Miramar, FL 33025-6639
Phone (786) 202-0414

Other practice location 2

1470 W 40th St Apt 114
Hialeah, FL 33012-4771
Phone (786) 202-0414

Other identifiers 1

IdentifierTypeStateIssuer
018013000MedicaidFL

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
0178111FLMDAssistant Behavior Analyst

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": "1785110400000",
    "number": "1972951564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 NW 24TH ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653645",
            "telephone_number": "786-202-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 NW 24TH ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653645",
            "telephone_number": "786-202-0414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11441 SW 20th St",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330256639",
            "country_code": "US",
            "telephone_number": "786-202-0414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1470 W 40th St Apt 114",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330124771",
            "country_code": "US",
            "telephone_number": "786-202-0414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1262833235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018013000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.