Individual provider Active NPI

Glenda Oria Gonzalez, BCBA

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1043754559
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-41368 Issued in FL
Practice address
6501 SW 139TH CT Apt 305
Miami, FL 33183-2088
Phone
(786) 366-9526
NPI assigned
Dec 19, 2016
Last updated
Feb 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-41368 FL Primary

Addresses

Primary practice location

6501 SW 139TH CT Apt 305
Miami, FL 33183-2088

Mailing address

6501 SW 139TH CT Apt 305
Miami, FL 33183-2088
Phone (786) 366-9526

Other identifiers 2

IdentifierTypeStateIssuer
019525300MedicaidFL
1-20-41368OtherBEHAVIOR ANALYST CERTIFICATION BOARD

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

Practice roles

OrganizationSpecialtyStatusNew patients
GG Behavior Therapy LLC Behavior Analyst CurrentSince Nov 12, 2023 Accepting new patients
Great Future Group, LLC Behavior Analyst CurrentSince Jan 26, 2025 Accepting new patients
Reaching Wellness Therapy and Instruction Behavior Analyst Past Accepting new patients

Locations

3201 NW 24th Street Rd
Ste 201
Miami, FL 33142
Phone (786) 366-9526

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1043754559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 SW 139TH CT APT 305",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331832088",
            "telephone_number": "786-366-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 SW 139TH CT APT 305",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331832088",
            "telephone_number": "786-366-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "GLENDA",
        "middle_name": "ORIA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-19",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-20-41368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019525300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "1-20-41368",
            "state": null
        }
    ],
    "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 Feb 14, 2025; 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.