Individual provider Active NPI

Michelle Stefani Gonzalez Molero III

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1043072705
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-321645 Issued in FL
Practice address
15290 SW 106TH LN Apt 312
Miami, FL 33196-2783
Phone
(786) 674-8914
NPI assigned
Jan 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-321645 FL Primary

Addresses

Primary practice location

15290 SW 106TH LN Apt 312
Miami, FL 33196-2783

Mailing address

15290 SW 106TH LN Apt 312
Miami, FL 33196-2783
Phone (786) 674-8914

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

LicenseStateTypeSpecialty
RBT-24-321645FLMDBehavior Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1043072705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15290 SW 106TH LN APT 312",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962783",
            "telephone_number": "786-674-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15290 SW 106TH LN APT 312",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962783",
            "telephone_number": "786-674-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ MOLERO",
        "first_name": "MICHELLE",
        "middle_name": "STEFANI",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-321645",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.