Individual provider Active NPI

Elena A Pablos Gonzalez, RBT-24-386569

  • Behavior Technician
  • Fort Myers, FL
National Provider Identifier
1184446353
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-386569 Issued in FL
Practice address
4905 Eastwood Greens St Unit 103
Fort Myers, FL 33905-3672
Phone
(786) 548-7218
NPI assigned
Oct 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 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-24-386569 FL Primary

Addresses

Primary practice location

4905 Eastwood Greens St Unit 103
Fort Myers, FL 33905-3672

Mailing address

4905 Eastwood Greens St Unit 103
Fort Myers, FL 33905-3672
Phone (786) 548-7218

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-24-386569FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1184446353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 EASTWOOD GREENS ST UNIT 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339053672",
            "telephone_number": "786-548-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 EASTWOOD GREENS ST UNIT 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339053672",
            "telephone_number": "786-548-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PABLOS GONZALEZ",
        "first_name": "ELENA",
        "middle_name": "A",
        "credential": "RBT-24-386569",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-29",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-386569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.