Elizabeth Conde Gonzalez

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0-23-14868 Issued in FL

Practice address

3301 SW 114TH CT
Miami, FL 33165-3329

Phone

(786) 816-2460

NPI assigned

Feb 10, 2021

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1275125254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 SW 114TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653329",
            "telephone_number": "786-816-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 SW 114TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653329",
            "telephone_number": "786-816-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDE GONZALEZ",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-23-14868",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-21-150372",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "RBT-21-150372",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "FloridaBlue",
            "affiliation": "N",
            "address_1": "3301 SW 114th Ct",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331653329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Concierge Medical Group South Florida LLC
• Concierge PT and Wellness LLC.
• Concierge Pulmonary Group LLC
• Arisleydis Conde Castro
• Abner Conde Garcia
• Osvaldo Conde Lorenzo
• Anderson I Conde, PTA
• Dyenann B Conde, ARNP, FNP
• Elianne Sosa Conde
• Jennifer Conde

• Assistant Behavior Analyst in Miami, FL
• Providers in Miami, FL by specialty
• Assistant Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.