Active NPI
Angel M Gonzalez Montero
- Assistant Behavior Analyst
- Kissimmee, FL
National Provider Identifier
1124681002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- Practice address
- 3501 W Vine St Ste 115
Kissimmee, FL 34741-4644 - Phone
- (407) 483-3074
- NPI assigned
- Apr 17, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | FL | ||
| Assistant Behavior Analyst | 106E00000X | FL | Primary |
Addresses
Primary practice location
3501 W Vine St Ste 115
Kissimmee, FL 34741-4644
Mailing address
2484 Huron Cir
Kissimmee, FL 34746-3439
Phone (321) 287-1608
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Tree of Functional Skills LLC | Single Specialty | Past | Accepting new patients |
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": "1555459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1124681002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2484 HURON CIR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347463439",
"telephone_number": "321-287-1608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 W VINE ST STE 115",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414644",
"telephone_number": "407-483-3074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ MONTERO",
"first_name": "ANGEL",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-17",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Assistant Behavior Analyst",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.