MEDICARE: VANESSA SHANTAE 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

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	:	1376060327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VANESSA SHANTAE RODRIGUEZ

Provider Business Mailing Address
First Line	:	3000 INTERNATIONAL PARKWAY
Second Line	:	SUITE 200
City	:	LAKE MARY
State	:	FL
Zip	:	32746-3625
Country	:	US
Telephone Number	:	866-610-0580
Fax Number	:

Provider Business Practice Location Address
First Line	:	7326 LITTLE RD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34654-5518
Country	:	US
Telephone Number	:	866-610-0580
Fax Number	:

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

Provider Enumeration Date	:	08/29/2017
Last Update Date	:	05/30/2019

Similar Medicare Providers

1346221660 — JUDITH HERTANU MD
Practice Location Address:

10 UNION SQ E , BETH ISRAEL MED CTR- DEPT OF REHAB MEDICARE
NEW YORK, NY
10003-3314

Practice Phone: 212-420-2757
Practice Fax:

1871452045 — KYLIE JAMESON MCENTEE
Practice Location Address:

7326 LITTLE RD
NEW PORT RICHEY, FL
34654-5518

Practice Phone: 727-364-2212
Practice Fax:

1427017326 — FLORIDA CANCER INSTITUTE NEW HOPE PA
Practice Location Address:

7324 LITTLE RD
NEW PORT RICHEY, FL
34654-5518

Practice Phone: 727-484-7722
Practice Fax: 727-484-7781

1265878144 — EUNICE SAMIRA HAZIM-POKORSKI
Practice Location Address:

7326 LITTLE RD
NEW PORT RICHEY, FL
34654-5518

Practice Phone: 727-364-2216
Practice Fax:

1134592322 — TRISTE LOU CRAWFORD
Practice Location Address:

7326 LITTLE RD
NEW PORT RICHEY, FL
34654-5518

Practice Phone: 727-364-2212
Practice Fax: 727-877-6957

1346762523 — KELLY LYNN BERNARD M.ED, BCBA, LABA
Practice Location Address:

7326 LITTLE RD
NEW PORT RICHEY, FL
34654-5518

Practice Phone: 727-364-2212
Practice Fax:

Directions to “ VANESSA SHANTAE RODRIGUEZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.