Active NPI
Yivvy Gonzalez
- Behavior Analyst
- Kissimmee, FL
National Provider Identifier
1164935870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- G235-162-85-000-0
- Practice address
- 2985 Bosque Ave Apt 102
Kissimmee, FL 34746-4421 - Phone
- (347) 819-9157
- NPI assigned
- Nov 16, 2017
- Sex
- Female
- 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 Analyst | 103K00000X | G235-162-85-000-0 | FL | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
2985 Bosque Ave Apt 102
Kissimmee, FL 34746-4421
Mailing address
2985 Bosque Ave Apt 102
Kissimmee, FL 34746-4421
Phone (347) 819-9157
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021740600 | Medicaid | FL |
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": "1510790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1164935870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2985 BOSQUE AVE APT 102",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347464421",
"telephone_number": "347-819-9157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2985 BOSQUE AVE APT 102",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347464421",
"telephone_number": "347-819-9157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "YIVVY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-16",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "G235-162-85-000-0",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021740600",
"state": "FL"
}
],
"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 Jun 1, 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.