MEDICARE: ANA MARIA SILVA 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	106S00000X	Behavior Technician	RBT-23-272196	FL
2	106E00000X	Assistant Behavior Analyst	0-26-17195	FL

General Provider Information

NPI Number	:	1861183238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANA MARIA SILVA RODRIGUEZ

Provider Business Mailing Address
First Line	:	1900 TRAVIS RD
Second Line	:
City	:	LAKE CLARKE SHORES
State	:	FL
Zip	:	33406-5205
Country	:	US
Telephone Number	:	561-209-3204
Fax Number	:

Provider Business Practice Location Address
First Line	:	1753 16TH CT N
Second Line	:
City	:	LAKE WORTH BEACH
State	:	FL
Zip	:	33460-6435
Country	:	US
Telephone Number	:	561-209-3204
Fax Number	:

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

Provider Enumeration Date	:	05/17/2023
Last Update Date	:	06/10/2026

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