Individual provider Active NPI

Diana Caridad Fundora Gonzalez

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1083495295
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-25-85236 Issued in FL
Practice address
532 SW 121St Ave
Miami, FL 33184-1653
Phone
(786) 584-9432
NPI assigned
Oct 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 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 1-25-85236 FL Primary

Addresses

Primary practice location

532 SW 121St Ave
Miami, FL 33184-1653

Mailing address

532 SW 121St Ave
Miami, FL 33184-1653
Phone (786) 584-9432

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

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1083495295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 SW 121ST AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841653",
            "telephone_number": "786-584-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 SW 121ST AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841653",
            "telephone_number": "786-584-9432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNDORA GONZALEZ",
        "first_name": "DIANA",
        "middle_name": "CARIDAD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-25-85236",
            "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 Oct 28, 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.