Individual provider Active NPI

Joel Fabelo Gonzalez

  • Behavior Technician
  • Miami Gardens, FL
National Provider Identifier
1225909534
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-21-180369 Issued in FL
Practice address
16700 NW 55TH Ave Apt 6
Miami Gardens, FL 33055-3904
Phone
(786) 773-0743
NPI assigned
Sep 17, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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-21-180369 FL Primary

Addresses

Primary practice location

16700 NW 55TH Ave Apt 6
Miami Gardens, FL 33055-3904

Mailing address

16700 NW 55TH Ave Apt 6
Miami Gardens, FL 33055-3904
Phone (786) 773-0743

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-21-180369FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1225909534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16700 NW 55TH AVE APT 6",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330553904",
            "telephone_number": "786-773-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16700 NW 55TH AVE APT 6",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330553904",
            "telephone_number": "786-773-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABELO GONZALEZ",
        "first_name": "JOEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-21-180369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.