GWENDOLYN RAE PAGE RODRIGUEZ BCBA
NPI 1942976527
Behavior Analyst in Godfrey, IL

Active since August 23, 2021
6301 HUMBERT RD, GODFREY, IL 62035(618) 466-0367 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2023, Aug 23, 2021 (2 updates tracked since 2021).

About Gwendolyn Rae Page Rodriguez Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GWENDOLYN RAE PAGE RODRIGUEZ BCBA (NPI 1942976527) is an individual behavior analyst provider in Godfrey, Illinois, licensed in (1-21-52631) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1942976527
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameGWENDOLYN RAE PAGE RODRIGUEZCredential: BCBA
Location Address6301 HUMBERT RDGodfrey, IL 62035-2163
Mailing Address950 Surrey DrEdwardsville, IL 62025-3807 · (618) 593-9189
Sole ProprietorNo
Enumeration DateAugust 23, 2021
Last NPPES UpdateAugust 16, 20232 updates tracked since enumeration
NPPES CertifiedAugust 16, 2023
NPI 1942976527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License Licensed · 1-21-52631
Definition
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.
6301 HUMBERT RD, Godfrey, IL 62035

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Intermediate Care Facility, Intellectual Disabilities
6301 HUMBERT RD
GODFREY, IL 62035
Day Training, Developmentally Disabled Services
6301 HUMBERT RD
GODFREY, IL 62035
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
6301 HUMBERT RD
GODFREY, IL 62035
Speech-Language Pathologist
6301 HUMBERT RD
GODFREY, IL 62035
Speech-Language Pathologist
6301 HUMBERT RD
GODFREY, IL 62035
Physical Medicine & Rehabilitation
6301 HUMBERT RD
GODFREY, IL 62035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gwendolyn Rodriguez's NPI number?

The NPI number for Gwendolyn Rodriguez is 1942976527. It was assigned to this individual provider in the NPPES registry on August 23, 2021.

Where is Gwendolyn Rodriguez located?

Gwendolyn Rodriguez practices at 6301 Humbert Rd, Godfrey, IL 62035. The listed phone number is (618) 466-0367.

What is Gwendolyn Rodriguez's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Gwendolyn Rodriguez was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.