TIMOTHY DAVID RODRIGUEZ (NPI# 1104433051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104433051 |
| Entity Type | Individual |
| Full Name | TIMOTHY DAVID RODRIGUEZ |
| Credential | RBT |
| Practice Address |
87009 Professional Way Yulee FL 32097-3400 |
| Mailing Address |
86156 Oak Tree Ln Yulee FL 32097-5584 |
| Practice Telephone | 9048497179 |
| Mailing Telephone | 9048266911 |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | 20-136762 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093377319 | Timothy David Rodriguez | Nurse Practitioner | 98 Briggs St Ste 800, San Antonio, TX 78224-1287 | 2019-07-08 |
| 1811177090 | Timothy A Rodriguez | Pharmacist | 9101 Montgomery Blvd Ne, Albuquerque, NM 87111-2405 | 2007-11-06 |
| Street Address |
87009 PROFESSIONAL WAY |
| City | YULEE |
| State | FL |
| Zip Code | 32097-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942826706 | Savannah Julia Young | Behavior Technician | 87009 Professional Way, Yulee, FL 32097-3400 | 2020-06-17 |
| 1336755487 | Jennifer Barrow | Behavior Technician | 87009 Professional Way, Yulee, FL 32097-3400 | 2020-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104432012 | Sinead Carr | Speech-Language Pathologist | Pediatric Therapy Associates, 463380 State Rd 200 Unit A, Yulee, FL 32097 | 2020-09-17 |
| 1932749298 | Lekira Elmore Taylor | Nurse's Aide | 951421 Bridge Parkway, Fernandina Beach, FL 32097 | 2020-01-14 |
| 1003451816 | Faculty Associates, Inc | Dentist | 76011 William Burgess Boulevard, Yulee, FL 32097 | 2019-11-15 |
| 1932744414 | Beckham's Holdings,llc | Eyewear Supplier (Equipment, not the service) | 463688 Fl-200, Suite 9, Yulee, FL 32097 | 2019-11-08 |
| 1740836048 | University of Florida Jacksonville Physicians Inc | Clinic/Center | 76011 William Burgess Blvd, Yulee, FL 32097 | 2019-08-13 |
| 1669039400 | Genesis Health Development, Inc. | Clinic/Center | 463721 Sr 200, Suite 7, Jacksonville, FL 32097 | 2019-05-28 |
| 1366981540 | Shannon C Taylor | Occupational Therapist | 75136 Ravenwood Drive, Yulee, FL 32097 | 2017-02-21 |
| 1982063244 | Suzanne J Leffew | Nurse Practitioner | 463646 Sr 200 West, Ste. 12, Yulee, FL 32097 | 2016-02-15 |
| 1558737163 | Sun Gallery Enterprises | Eyewear Supplier (Equipment, not the service) | 463867 Sr 200, Suite 4, Yulee, FL 32097 | 2015-08-18 |
| 1962777177 | Spirit Enterprises | Skilled Nursing Facility | 9035 Brian Dairy Road, Largo Health Center, Largo, FL 32097 | 2012-03-21 |
| Find all providers in zip 32097 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942826706 | Savannah Julia Young | Behavior Technician | 87009 Professional Way, Yulee, FL 32097-3400 | 2020-06-17 |
| 1265055586 | Samantha Lee Barbiere | Behavior Technician | 86195 Courtney Isles Way Apt 2301, Yulee, FL 32097-3514 | 2020-05-20 |
| 1336755487 | Jennifer Barrow | Behavior Technician | 87009 Professional Way, Yulee, FL 32097-3400 | 2020-09-23 |
| 1770191744 | Ebony Ivory Conley | Behavior Technician | 87005 Professional Way, Yulee, FL 32097-3400 | 2020-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447099 | Allan Ramirez | Behavior Technician | 13805 Sw 26th Ter, Miami, FL 33175-6575 | 2020-11-08 |
| 1023619855 | Suselis Sanchez Gargallo | Behavior Technician | 65 E 34th St, Hialeah, FL 33013-2617 | 2020-11-06 |
| 1487255337 | Mabel Gonzalez | Behavior Technician | 95 E 34th St, Hialeah, FL 33013-2617 | 2020-11-06 |
| 1063013902 | Lisset Cruz Martinez | Behavior Technician | 671 E 63rd St, Hialeah, FL 33013-1152 | 2020-11-06 |
| 1144821984 | Lissette Maylene Garcia | Behavior Technician | 451 E 23rd St Apt 2, Hialeah, FL 33013-3949 | 2020-11-06 |
| 1750982518 | Jesus M Perez | Behavior Technician | 117 Nw 42nd Ave Apt 812, Miami, FL 33126-5430 | 2020-11-06 |
| 1922609783 | Ariday Sosa | Behavior Technician | 9600 Nw 25th St Ph Suite, Doral, FL 33172-1416 | 2020-11-06 |
| 1851992846 | Lumey Mendez | Behavior Technician | 1628 Nw 5th Pl, Cape Coral, FL 33993-5110 | 2020-11-05 |
| 1841891850 | Gicle Gonzalez | Behavior Technician | 10940 Sw 38th St, Miami, FL 33165-4442 | 2020-11-05 |
| 1437750403 | Phong Hai Huynh | Behavior Technician | 4173 105th Ave N, Clearwater, FL 33762-5461 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.