Natividad Rodriguez, LABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2065 Issued in MA

Practice address

132 Robbs Hill Rd
Lunenburg, MA 01462-2167

Phone

(774) 270-1766

NPI assigned

Dec 13, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Innovative Autism Connections, LLC

  • Behavior Analyst
  • Lunenburg, MA
  • NPI 1417468364
  NPD

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1992008981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 TURIN RD # 2",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041825",
            "telephone_number": "269-598-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 ROBBS HILL RD",
            "city": "LUNENBURG",
            "state": "MA",
            "postal_code": "014622167",
            "telephone_number": "774-270-1766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "855 Worcester Rd",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017015258",
            "country_code": "US",
            "telephone_number": "508-834-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "NATIVIDAD",
        "credential": "LABA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-13",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "2065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Randle, LICSW
• Marissa Kitana Reese
• Peggy Reese
• Nicole Anne Reinstein
• Anders G.J. Rhodin, M.D.
• Dewayne Lavonte Rogers I
• Kimberleigh Moon Rohland
• Ashley Marion Romano, RBT
• Patricia Ann Romero
• Clancy Ann Ronan

• All providers in Lunenburg, MA
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.