Provider Demographics
NPI:1861389819
Name:RODRIGUEZ, GISELLA TAINA (RBT-25-447164)
Entity type:Individual
Prefix:
First Name:GISELLA
Middle Name:TAINA
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:RBT-25-447164
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1492 CATERPILLAR ST
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34771-7525
Mailing Address - Country:US
Mailing Address - Phone:407-591-9305
Mailing Address - Fax:
Practice Address - Street 1:1492 CATERPILLAR ST
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34771-7525
Practice Address - Country:US
Practice Address - Phone:407-591-9305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-447164106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician