Provider Demographics
NPI:1962059329
Name:RODRIGUEZ NUNEZ, ANILEIDYS (RBT, BCABA)
Entity type:Individual
Prefix:
First Name:ANILEIDYS
Middle Name:
Last Name:RODRIGUEZ NUNEZ
Suffix:
Gender:
Credentials:RBT, BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17301 NW 94TH CT APT 108
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-4378
Mailing Address - Country:US
Mailing Address - Phone:305-859-5257
Mailing Address - Fax:
Practice Address - Street 1:17301 NW 94TH CT APT 108
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-4378
Practice Address - Country:US
Practice Address - Phone:305-859-5257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-21
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0-25-15881106E00000X
FL19-96121106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician