Active NPI
Lierne F Gomez
- Behavior Analyst
- Miami, FL
National Provider Identifier
1255035788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-72003
- Practice address
- 12601 SW 202ND LN
Miami, FL 33177-5314 - Phone
- (305) 340-8870
- NPI assigned
- Mar 28, 2023
- Sex
- Male
- 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 Technician | 106S00000X | RBT-22-236186 | FL | |
| Behavior Analyst | 103K00000X | 1-24-72003 | Primary |
Addresses
Primary practice location
12601 SW 202ND LN
Miami, FL 33177-5314
Mailing address
12601 SW 202ND LN
Miami, FL 33177-5314
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-236186 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711929600000",
"number": "1255035788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12601 SW 202ND LN",
"city": "MIAMI",
"state": "FL",
"postal_code": "331775314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12601 SW 202ND LN",
"city": "MIAMI",
"state": "FL",
"postal_code": "331775314",
"telephone_number": "305-340-8870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "LIERNE",
"middle_name": "F",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-28",
"last_updated": "2024-04-01",
"certification_date": "2024-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-22-236186",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-24-72003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.