TRACY RODRIGUEZ (NPI# 1730636051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730636051 |
| Entity Type | Individual |
| Full Name | TRACY RODRIGUEZ |
| Practice Address |
1887 Monterey Hwy Ste 225 San Jose CA 95112-6192 |
| Mailing Address |
16782 Von Karman Ave Ste 11 Irvine CA 92606-2417 |
| Practice Telephone | 4087066855 |
| Mailing Telephone | 9498332237 |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2020-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1750754107 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5803 W Craig Rd, Suite 105, Las Vegas, NV 891302536 | 7029015201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295246643 | Tracy Rodriguez | Social Worker | 601 W Michigan St, Orlando, FL 32805-6203 | 2017-10-12 |
| Street Address |
1887 MONTEREY HWY STE 225 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95112-6192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235202367 | John Raymond Ventura | Counselor | 1887 Monterey Hwy Ste 225, San Jose, CA 95112-6192 | 2006-11-16 |
| 1245831452 | Helen Pham | Behavior Technician | 1887 Monterey Hwy Ste 225, San Jose, CA 95112-6192 | 2020-11-04 |
| 1891395539 | Verenise Esquivel Torres | Behavior Technician | 1887 Monterey Hwy Ste 225, San Jose, CA 95112-6192 | 2020-10-30 |
| 1477152031 | Megan Hinton | Behavior Technician | 1887 Monterey Hwy Ste 225, San Jose, CA 95112-6192 | 2020-10-23 |
| 1427657337 | Erika Ismerio | Behavior Technician | 1887 Monterey Hwy Ste 225, San Jose, CA 95112-6192 | 2020-10-21 |
| 1922607076 | Leslie Mosco | Behavior Technician | 1887 Monterey Hwy Ste 225, San Jose, CA 95112-6192 | 2020-10-20 |
| 1114526258 | Milana Hicks | Behavior Technician | 1887 Monterey Hwy Ste 225, San Jose, CA 95112-6192 | 2020-10-20 |
| 1528667946 | Rigoberto Mendoza | Behavior Technician | 1887 Monterey Hwy Ste 225, San Jose, CA 95112-6192 | 2020-10-19 |
| 1699373068 | Laura Vaughn | Behavior Technician | 1887 Monterey Hwy Ste 225, San Jose, CA 95112-6192 | 2020-10-16 |
| 1306444039 | Anna Hervey | Behavior Technician | 1887 Monterey Hwy Ste 225, San Jose, CA 95112-6192 | 2020-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443407 | Khady Fall | Behavior Technician | 408 494 1561, 614 Tully Road, San Jose, CA 95112 | 2020-07-02 |
| 1538791124 | Vianey Martinez | Social Worker | 290 N Second Street, San Jose, CA 95112 | 2020-02-11 |
| 1083254262 | Tessa Dobrin Zapalac | Behavior Technician | 1887 Monterey Road, Suite 225, San Jose, Ca 95112, San Jose, CA 95112 | 2020-01-15 |
| 1508404716 | Emilie Caitlin Leach | Counselor | 290 N 2nd St, San Jose, CA 95112 | 2019-12-18 |
| 1699313080 | Juan Carlos Mercado | Marriage & Family Therapist | 290 North 2nd St, San Jose, CA 95112 | 2019-12-16 |
| 1386288017 | Path (people Assisting The Homeless) | Case Manager/Care Coordinator | 290 N. 2nd Street San Jose Ca, San Jose, CA 95112 | 2019-11-06 |
| 1316588528 | Loralee Crystal Garcia | Technician | 546 N. 3rd Street #7, San Jose, CA 95112 | 2019-09-30 |
| 1306316922 | Patricia Calatraba Swofford | Marriage & Family Therapist | 232 E. Gish Rd., San Jose, CA 95112 | 2018-11-27 |
| 1134606932 | Ana Alicia Castro-banderas | Social Worker | 160 E Virginia St., Suite 100, San Jose, CA 95112 | 2018-07-24 |
| 1275035750 | Theresa Khong | Behavior Technician | 1887 Monterey Hwy. Suite 225, San Jose, CA 95112 | 2018-03-01 |
| Find all providers in zip 95112 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332049 | B Is for Butterfly | Behavioral Analyst | 1314 Bilbo Ct, San Jose, CA 95121-2402 | 2020-09-24 |
| 1942816673 | Christian Jose Antonio Carrillo | Behavioral Analyst | 2420 Klein Rd, San Jose, CA 95148-1801 | 2020-09-17 |
| 1770193146 | Melissa Leon Sierra | Behavioral Analyst | 2146 Pacina Dr, San Jose, CA 95116-3647 | 2020-07-31 |
| 1215552435 | Jaime Kim | Behavioral Analyst | 1494 Hamilton Ave, San Jose, CA 95125-4535 | 2020-06-12 |
| 1346865979 | Bloom Aba | Behavioral Analyst | 2326 Oak Flat Rd, San Jose, CA 95131-1929 | 2020-06-09 |
| 1760018907 | Vanessa Parker | Behavioral Analyst | 2895 Old Almaden Rd Apt 12, San Jose, CA 95125-4236 | 2020-03-19 |
| 1326673104 | Roque Leon | Behavioral Analyst | 576 S 5th St Apt 18, San Jose, CA 95112-5649 | 2020-03-11 |
| 1881234482 | Silvia Maria Pinto | Behavioral Analyst | 2007 W Hedding St Ste 214, San Jose, CA 95128-1428 | 2020-01-10 |
| 1376182717 | Serena Richardson | Behavioral Analyst | 2007 W Hedding St Ste 201, San Jose, CA 95128-1428 | 2020-01-02 |
| 1205479409 | Jennifer Hunter | Behavioral Analyst | 223 Birch Ridge Cir, San Jose, CA 95123-2655 | 2019-10-21 |
| Find all providers in SAN JOSE | ||||
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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.