Active NPI
Lianet Rodriguez Tejeda
- Behavior Technician
- Melbourne, FL
National Provider Identifier
1982447124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2740 N Harbor City Blvd
Melbourne, FL 32935-6291 - Phone
- (321) 622-6884
- NPI assigned
- Jun 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
2740 N Harbor City Blvd
Melbourne, FL 32935-6291
Mailing address
1486 Donegal Dr
Melbourne, FL 32940-6057
Other names 1
- Lianet Rodriguez Tejeda
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paloma Academy Inc | Multi-Specialty | Current | Accepting new patients |
Locations
2740 N Harbor City Blvd
Melbourne, FL 32935
Phone (321) 622-6884
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": "1718409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718409600000",
"number": "1982447124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1486 DONEGAL DR",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329406057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2740 N HARBOR CITY BLVD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329356291",
"telephone_number": "321-622-6884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ TEJEDA",
"first_name": "LIANET",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-15",
"last_updated": "2024-06-15",
"certification_date": "2024-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LIANET",
"last_name": "RODRIGUEZ TEJEDA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.