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Active NPI 1942976527 Individual Practitioner Female Practitioner

Gwendolyn Rae Page Rodriguez , BCBA

Behavior Analyst • Godfrey, IL

Professional Overview & Biography Verified Profile Summary

Gwendolyn Rodriguez, BCBA is a registered healthcare professional specializing in Behavior Analyst in Godfrey, IL. Practice services are available at 6301 HUMBERT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6301 Humbert Rd

Godfrey, IL 620352163

Telephone 6184660367
Associated Practice Facility / Clinic
🏢 Beverly Farm Foundation Facility NPI 1174696157

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Godfrey, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Godfrey, IL (3105 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-16
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License None 1-21-52631

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Allie Thyer , MS CCC-SLP

Speech-Language Pathologist

NPI 1699234062

MSCCCSLP

Sydnee Lollis

Speech-Language Pathologist

NPI 1740992395
Allison Fowler , OTR, L

Physical Medicine & Rehabilitation

NPI 1871208918

Occupational Therapist Registered, L

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 23, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 23, 2021

Registered at 6301 HUMBERT RD, GODFREY, IL 620352163 (Tel: 6184660367)

📍
Updated Business Mailing Address August 23, 2021

Registered at 950 SURREY DR, EDWARDSVILLE, IL 620253807 (Tel: 6185939189)

👤
Provider Name / Credentials Updated August 23, 2021

Recorded as GWENDOLYN RODRIGUEZ, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2021

Behavior Analyst (License #1-21-52631 in None)

🟢
Initial NPI Registration & Enumeration August 23, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942976527
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2021
Last Update: August 16, 2023
Sole Proprietor: No

Mailing Address

950 Surrey Dr

Edwardsville, IL 620253807

Phone: 6185939189

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.