Individual provider Active NPI

Nelsy Gonzalez

  • Behavior Technician
  • Royal Palm Beach, FL
National Provider Identifier
1114781507
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-320497 Issued in FL
Practice address
420 S State Road 7 Ste 174
Royal Palm Beach, FL 33414-4306
Phone
(561) 568-9367
NPI assigned
Feb 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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-24-320497 FL Primary

Addresses

Primary practice location

420 S State Road 7 Ste 174
Royal Palm Beach, FL 33414-4306

Mailing address

110 Santa Barbara Way
Palm Beach Gardens, FL 33410-4319
Phone (561) 827-9286

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
RBT-24-320497FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Square One Behavioral Services Inc. CurrentSince Feb 11, 2024 Accepting new patients

Locations

420 S State Road 7
Ste 174
West Palm Beach, FL 33414
Phone (561) 247-7860

Organizations & group practices 1

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": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1114781507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SANTA BARBARA WAY",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104319",
            "telephone_number": "561-827-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S STATE ROAD 7 STE 174",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334144306",
            "telephone_number": "561-568-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "NELSY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-320497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

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