Individual provider Active NPI

Belkis Morejon Gonzalez

  • Behavior Technician
  • Opa Locka, FL
National Provider Identifier
1235608142
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-18-64157 Issued in FL
Practice address
1091 Ali Baba Ave
Opa Locka, FL 33054-3609
Phone
(305) 834-3103
NPI assigned
Nov 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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-18-64157 FL Primary

Addresses

Primary practice location

1091 Ali Baba Ave
Opa Locka, FL 33054-3609

Mailing address

1091 Ali Baba Ave
Opa Locka, FL 33054-3609
Phone (305) 834-3103

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-18-64157FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Alliance Care Services LLC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1235608142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1091 ALI BABA AVE",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330543609",
            "telephone_number": "305-834-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 ALI BABA AVE",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330543609",
            "telephone_number": "305-834-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREJON GONZALEZ",
        "first_name": "BELKIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-20",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-18-64157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opa Locka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.