Provider Demographics
NPI:1568007227
Name:RODRIGUEZ-MARTINEZ, FALEN (BCBA)
Entity type:Individual
Prefix:MRS
First Name:FALEN
Middle Name:
Last Name:RODRIGUEZ-MARTINEZ
Suffix:
Gender:
Credentials:BCBA
Other - Prefix:MS
Other - First Name:FALEN
Other - Middle Name:
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16400 VENTURA BLVD STE 327
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-2190
Mailing Address - Country:US
Mailing Address - Phone:747-444-2434
Mailing Address - Fax:855-928-5228
Practice Address - Street 1:16400 VENTURA BLVD STE 327
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2190
Practice Address - Country:US
Practice Address - Phone:747-221-4222
Practice Address - Fax:855-928-5228
Is Sole Proprietor?:No
Enumeration Date:2019-11-16
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103K00000X
106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst