MEDICARE: DANELIA 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	BCBA-1-21-49088	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

General Provider Information

NPI Number	:	1316425200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANELIA RODRIGUEZ

Provider Business Mailing Address
First Line	:	3429 SARANAC AVE
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-4930
Country	:	US
Telephone Number	:	305-300-1483
Fax Number	:

Provider Business Practice Location Address
First Line	:	3429 SARANAC AVE
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-4930
Country	:	US
Telephone Number	:	305-300-1483
Fax Number	:

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

Provider Enumeration Date	:	08/01/2018
Last Update Date	:	03/09/2026

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Directions to “ DANELIA RODRIGUEZ ” Practice Location

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