Genesis Samantha Rodriguez
Behavior Technician in Valley Village, CA. Individual provider (NPI-1).
NPI number1336717875
StatusActive
Last updated in NPPESJun 11, 2021
Details
- NPI
- 1336717875
- Entity type
- Individual (NPI-1)
- Name
- Genesis Samantha Rodriguez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2021
- Certification date
- Jun 11, 2021
- Last updated
- Jun 11, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
5352 Laurel Canyon Blvd Ste 100Valley Village, CA 91607-4923
Phone 747-254-1154
Mailing address
21600 Oxnard St Ste 1800Woodland Hills, CA 91367-7807
Phone 818-345-2345
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 61 Behavior Technician providers in Valley Village · All 642 providers in Valley Village
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