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Lisa Christine Rodriguez , BCBA, LBA

Behavior Analyst β€’ Grand Rapids, MI

Active NPI 1265063481 Individual Practitioner Female Practitioner
Practice location in NPPES

2040 Raybrook St Se Ste 300
Grand Rapids, MI 495467718

Call 8012516148 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2040 Raybrook St Se Ste 300

Grand Rapids, MI 495467718

Telephone 8012516148
Fax 1628560636
Organization at the Same NPPES Address or Phone
Personal Courage Facility NPI 1518644038

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Grand Rapids and Michigan

252 active clinicians are listed under Behavior Analyst with a practice address in Grand Rapids, MI (3,195 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Grand Rapids

0% of these 252 clinicians have the CMS telehealth indicator.

0% of these 252 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-01-17
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES MI 7401001039

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location January 17, 2023

Registered at 2040 RAYBROOK ST SE STE 300, GRAND RAPIDS, MI 495467718 (Tel: 8012516148)

πŸ“
Updated Business Mailing Address January 17, 2023

Registered at 7676 STEELE AVE, JENISON, MI 494287981 (Tel: 6163228456)

βœ…
NPI Profile Active January 27, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 27, 2020

Registered at 10327 GRAND RIVER RD STE 401, BRIGHTON, MI 481166501 (Tel: 8007875118)

πŸ“
Business Mailing Address (Initial Record) January 27, 2020

Registered at 2634 RANDALL AVE NW, GRAND RAPIDS, MI 495341128 (Tel: 6163228456)

πŸ‘€
Provider Name / Credentials (Initial Record) January 27, 2020

Recorded as LISA RODRIGUEZ, BCBA, LBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2020

Behavior Analyst (license number reported to NPPES: MI 7401001039)

🟒
Initial NPI Registration & Enumeration January 27, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1265063481
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 27, 2020
Last Update: January 17, 2023
Sole Proprietor: No

Mailing Address

7676 Steele Ave

Jenison, MI 494287981

Phone: 6163228456

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.