Individual provider Active NPI

Kirenia Romero Gonzalez

  • Behavior Analyst
  • Miami Lakes, FL
National Provider Identifier
1053863076
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-48164 Issued in FL
Practice address
9130 NW 162ND Ter
Miami Lakes, FL 33018-6302
Phone
(786) 870-3174
NPI assigned
Oct 25, 2016
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA24721 FL
Behavior Analyst 103K00000X 1-21-48164 FL Primary

Addresses

Primary practice location

9130 NW 162ND Ter
Miami Lakes, FL 33018-6302

Mailing address

9130 NW 162ND Ter
Miami Lakes, FL 33018-6302
Phone (786) 870-3174

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
SZ12576FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kym Therapy Corp. Behavior Analyst CurrentSince Mar 12, 2023 Accepting new patients
Therapeutic Rebirth Corporation Behavior Analyst Past Accepting new patients

Organizations & group practices 2

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": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1053863076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9130 NW 162ND TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330186302",
            "telephone_number": "786-870-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9130 NW 162ND TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330186302",
            "telephone_number": "786-870-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO GONZALEZ",
        "first_name": "KIRENIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA24721",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-48164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; 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.