MEDICARE: MONICA RODRIGUEZ RODRIGUEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106E00000X	Assistant Behavior Analyst
2	106S00000X	Behavior Technician
3	103K00000X	Behavior Analyst	1-26-88105	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265013528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA RODRIGUEZ RODRIGUEZ

Provider Business Mailing Address
First Line	:	4706 CARVER ST
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-2226
Country	:	US
Telephone Number	:	786-314-6774
Fax Number	:

Provider Business Practice Location Address
First Line	:	2151 45TH ST STE 304
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2011
Country	:	US
Telephone Number	:	561-323-2552
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2021
Last Update Date	:	03/09/2026

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Directions to “ MONICA RODRIGUEZ RODRIGUEZ ” Practice Location

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