Yanery Gonzalez Canino

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-19-88285 Issued in FL

Practice address

5204 Barth St
Lehigh Acres, FL 33971-6541

Phone

(239) 645-6993

NPI assigned

Jul 22, 2019

Last updated

May 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Positive Behavior Services

  • Behavior Analyst
  • Homestead, FL
  • NPI 1639438120
  NPD (past)

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1205489895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 BARTH ST",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339716541",
            "telephone_number": "239-645-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5204 BARTH ST",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339716541",
            "telephone_number": "239-645-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ CANINO",
        "first_name": "YANERY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "19-88285",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-88285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valentina Gomez
• Yadisleidys Gongora
• Melissa Lynn Gonzaalez
• Daneisi Gonzalez Alvarez
• Leyanet Gonzalez Camero
• Maria Fernanda Gonzalez Castro
• Elieny De Fatima Gonzalez Concepcion
• Ailyn Gonzalez Cruz
• Iraelis Gonzalez Cruz
• Sergio Gonzalez de la Pena

• Behavior Technician in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.