Individual provider Active NPI

Adria Gonzalez Garcia

  • Behavior Analyst
  • Palmetto Bay, FL
National Provider Identifier
1063992105
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BCBA-1-19-38426 Issued in FL
Practice address
9555 SW 175TH Ter Ste 215
Palmetto Bay, FL 33157-5604
Phone
(305) 877-3886
NPI assigned
Aug 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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 BCBA-1-19-38426 FL Primary

Addresses

Primary practice location

9555 SW 175TH Ter Ste 215
Palmetto Bay, FL 33157-5604

Mailing address

9555 SW 175TH Ter Ste 215
Palmetto Bay, FL 33157-5604
Phone (305) 877-3886

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
Professional Behavior Therapy Corp Behavior Analyst CurrentSince Jun 1, 2021 Accepting new patients
All Florida Autism Center for ABA Therapy Behavior Analyst PastSince Jun 1, 2021 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1063992105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9555 SW 175TH TER STE 215",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575604",
            "telephone_number": "305-877-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 SW 175TH TER STE 215",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575604",
            "telephone_number": "305-877-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ GARCIA",
        "first_name": "ADRIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "BCBA-1-19-38426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.