Wildaliz Gonzalez Roman, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1334 S Semoran Blvd
Orlando, FL 32807-2916

Phone

(407) 601-7631

NPI assigned

Mar 9, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Wildaliz Gonzalez Roman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520553600000",
    "number": "1154824746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 MIRASOL LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328286725",
            "telephone_number": "863-399-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 S SEMORAN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328072916",
            "telephone_number": "407-601-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ ROMAN",
        "first_name": "WILDALIZ",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-09",
        "last_updated": "2018-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILDALIZ",
            "last_name": "GONZALEZ ROMAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daraivys Gonzalez Perez, RBT
• Lismary Gonzalez Polo
• Giselle Stefhany Gonzalez Reyes, RBT
• Gisell Yuriana Gonzalez Rios, MD
• Maydelis Gonzalez Rodriguez
• Edith Arlene Gonzalez Sanchez
• Laura Raquel Gonzalez Santiago, PHARMD
• Dashley Gonzalez Sciascia, PTA
• Michael Joseph Gonzalez Soto
• Patricia Gonzalez Trujillo

• Behavior Technician in Orlando, FL
• Providers in Orlando, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; 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.