Individual provider Active NPI

Vivian Gonzalez Miro

  • Behavior Technician
  • West Palm Beach, FL
National Provider Identifier
1104418912
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-138486 Issued in FL
Practice address
1636 Maypop Rd
West Palm Beach, FL 33415-5541
Phone
(786) 447-4987
NPI assigned
Feb 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-20-138486 FL Primary

Addresses

Primary practice location

1636 Maypop Rd
West Palm Beach, FL 33415-5541

Mailing address

1636 Maypop Rd
West Palm Beach, FL 33415-5541
Phone (786) 447-4987

Other practice location 1

7971 Riviera Blvd Ste 203
Miramar, FL 33023-6446
Phone (305) 891-5451

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": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1104418912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 MAYPOP RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334155541",
            "telephone_number": "786-447-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 MAYPOP RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334155541",
            "telephone_number": "786-447-4987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7971 Riviera Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330236446",
            "country_code": "US",
            "telephone_number": "305-891-5451",
            "fax_number": "561-634-2814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ MIRO",
        "first_name": "VIVIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-138486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.