JENNIFER RODRIGUEZ (NPI# 1033719158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033719158 |
| Entity Type | Individual |
| Full Name | JENNIFER RODRIGUEZ |
| Practice Address |
1 Reservoir Corporate Ctr Ste 415 Shelton CT 06484-6214 |
| Mailing Address |
1055 E Colorado Blvd Ste 560 Pasadena CA 91106-2380 |
| Practice Telephone | 8888050759 |
| Mailing Telephone | 8182416780 |
| Mailing Fax Number | 8182416853 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1055 E Colorado Blvd Ste 560, Pasadena, CA 911062380 | 8182416780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417582883 | Jennifer Rodriguez | Registered Nurse | 3965 Lucero St, Napa, CA 94558-1986 | 2020-03-06 |
| 1053944819 | Jennifer Rodriguez | Social Worker | 12665 Nw 27th Ave Apt 306, Miami, FL 33167-1991 | 2020-02-19 |
| 1144852104 | Jennifer Rodriguez | Nurse Practitioner | 4102 S New Braunfels Ave Ste 110-142, San Antonio, TX 78223-1707 | 2020-02-07 |
| 1851931216 | Jennifer M Rodriguez | Occupational Therapist | 348 89th St Apt 1f, Brooklyn, NY 11209-5628 | 2020-01-13 |
| 1477197770 | Jennifer Rodriguez | Early Intervention Provider Agency | 2565 Marion Ave Apt 5e, Bronx, NY 10458-4725 | 2019-10-30 |
| 1841845476 | Jennifer Rodriguez | Assistant Behavior Analyst | 2326 W 68th St, Hialeah, FL 33016-1808 | 2019-08-09 |
| 1104318419 | Jennifer Rodriguez | Student in an Organized Health Care Education/Training Program | 5200 Centre Ave., Shadyside Medical Building, Suite 509 - Shea Medical Center, Pittsburgh, PA 15232 | 2018-06-01 |
| 1578098968 | Jennifer Rodriguez | Counselor | 720 Magnolia Rd, Suite 2, Charleston, SC 29407-7019 | 2017-04-24 |
| 1437562857 | Jennifer Rodriguez | Specialist | 228 Springmeadow Dr, Unit E., Holbrook, NY 11741-4133 | 2014-06-03 |
| 1457605768 | Jennifer Lynn Rodriguez | Case Manager/Care Coordinator | 5 Kingston Rd, New Fairfield, CT 06812-4351 | 2012-11-08 |
| Street Address |
1 RESERVOIR CORPORATE CTR STE 415 |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-6214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949517 | Judy Ports | Speech-Language Pathologist | 100 Bear Sawmill Rd, Shelton, CT 06484 | 2020-07-22 |
| 1144793340 | Theodore N. Zengou | Pharmacist | 875 Bridgeport Av., Shelton, CT 06484 | 2019-01-10 |
| 1194215046 | Brightview Shelton LLC | Alzheimer Center (Dementia Center) | 30 Beard Sawmill Road, Shelton, CT 06484 | 2018-05-16 |
| 1477071264 | Emily Buccigross | Specialist/Technologist | 941 Constitution Blvd N, Shelton, CT 06484 | 2017-09-01 |
| 1134649643 | Margaret Grace Ferrara | Dentist | 4 Corporate Dr Ste 383, Shelton, CT 06484 | 2017-06-26 |
| 1376092007 | Qmg3 LLC | Family Medicine | 405 Bridgeport Avenue, Shelton, CT 06484 | 2016-09-22 |
| 1215316427 | Marcella N. Sancho, Lcsw, LLC | Social Worker | 4 Research Drive, Suite 402, Shelton, CT 06484 | 2015-05-20 |
| 1578987483 | Lisa Sych | Speech-Language Pathologist | 584 Long Hill Avenue- Bishop Wicke Health Center, Shelton, CT 06484 | 2014-02-12 |
| 1073936324 | Jeanne M. Kellogg | Occupational Therapy Assistant | 36 Fairlane Dr., Shelton, CT 06484 | 2014-01-22 |
| 1851724454 | Brittany Steiner | Behavioral Analyst | 26 Pound Ridge Ave, Shelton, CT 06484 | 2013-08-19 |
| Find all providers in zip 06484 | ||||
| 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 |
|---|---|---|---|---|
| 1093329898 | Laciel Porter | Behavior Technician | 307 W Cota St Fl 2, Shelton, WA 98584-2265 | 2020-08-31 |
| 1588227268 | Alexandria Phoenix Quigley | Behavior Technician | 50 Se Wildwood Dr, Shelton, WA 98584-9353 | 2019-04-17 |
| 1184101008 | Rebecca Ann Fraley | Behavior Technician | 250 W Nahwatzel Beach Dr, Shelton, WA 98584-8970 | 2018-07-24 |
| 1396250452 | Danny Keizur | Behavior Technician | 61 E Larch Pl, Shelton, WA 98584-9724 | 2017-12-11 |
| 1689271363 | Patrick Toole | Behavior Technician | 4 Research Dr Ste 402, Shelton, CT 06484-6242 | 2020-10-06 |
| 1902410319 | Emma Swanson | Behavior Technician | 11 Abbey Ln, Shelton, CT 06484-5101 | 2020-09-02 |
| 1629680731 | Akashia Milsap | Behavior Technician | 307 W Cota St, Shelton, WA 98584-2265 | 2020-08-19 |
| 1457963571 | Shane Micheal Taylor | Behavior Technician | 307 W Cota St, Shelton, WA 98584-2265 | 2020-08-19 |
| 1740890318 | Eric William Rehwaldt | Behavior Technician | 307 W Cota St, Shelton, WA 98584-2265 | 2020-08-07 |
| 1124638309 | Salina Marie Spence | Behavior Technician | 307 W Cota St, Shelton, WA 98584-2265 | 2020-08-03 |
| Find all providers in SHELTON | ||||
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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.