Individual provider Active NPI

Yanivis Machado-Gonzalez, BCBA, LMHC

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1104111640
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-12-10380 Issued in FL
Practice address
13611 S Dixie Hwy Ste 301
Miami, FL 33176-7258
Phone
(305) 562-4683
Fax
(866) 517-3411
NPI assigned
Jun 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-12-10380 FL Primary
Mental Health Counselor 101YM0800X MH 11537 FL

Addresses

Primary practice location

13611 S Dixie Hwy Ste 301
Miami, FL 33176-7258

Mailing address

13611 S Dixie Hwy Ste 301
Miami, FL 33176-7258
Phone (305) 562-4683

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
MH 11537FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindology Miami Mental Health CurrentSince Sep 28, 2025 Accepting new patients
The Shaping Academy for Behavioral Development Past Accepting new patients

Locations

11925 SW 72nd St
Miami, FL 33183
Phone (305) 562-4683

13611 S Dixie Hwy
Ste 301
Miami, FL 33176
Phone (305) 562-4683

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": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1104111640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13611 S DIXIE HWY STE 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331767258",
            "telephone_number": "305-562-4683",
            "fax_number": "866-517-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13611 S DIXIE HWY STE 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331767258",
            "telephone_number": "305-562-4683",
            "fax_number": "866-517-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHADO-GONZALEZ",
        "first_name": "YANIVIS",
        "credential": "BCBA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-12-10380",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 11537",
            "primary": false
        }
    ],
    "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 Sep 22, 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.