Healthcare Provider Details

I. General information

NPI: 1538605993
Provider Name (Legal Business Name): JANY RODRIGUEZ CESPEDES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2017
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13424 SW 136TH TER
MIAMI FL
33186-8931
US

IV. Provider business mailing address

13424 SW 136TH TER
MIAMI FL
33186-8931
US

V. Phone/Fax

Practice location:
  • Phone: 305-878-6719
  • Fax:
Mailing address:
  • Phone: 305-878-6719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-20-45389
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: