Active NPI
Gisel Gomez
- Behavior Technician
- Miami, FL
National Provider Identifier
1033852926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-210757
- Practice address
- 10625 SW 112TH Ave Apt 201
Miami, FL 33176-8220 - Phone
- (954) 686-4629
- NPI assigned
- Apr 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-210757 | FL | Primary |
Addresses
Primary practice location
10625 SW 112TH Ave Apt 201
Miami, FL 33176-8220
Mailing address
10477 SW 108TH Ave Apt B120
Miami, FL 33176-8140
Phone (786) 399-2536
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194340968 | Other | FL | LUX ABA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-210757 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lux ABA LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Cutler Bay, FL
- NPI 1194340968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650240000000",
"number": "1033852926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10477 SW 108TH AVE APT B120",
"city": "MIAMI",
"state": "FL",
"postal_code": "331768140",
"telephone_number": "786-399-2536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10625 SW 112TH AVE APT 201",
"city": "MIAMI",
"state": "FL",
"postal_code": "331768220",
"telephone_number": "954-686-4629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "GISEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-18",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-22-210757",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LUX ABA",
"identifier": "1194340968",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.