Olga Lidia Grillo Gonzalez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-206161 Issued in FL

Practice address

6437 SW 135TH Ave
Miami, FL 33183-5020

Phone

(305) 763-5132

NPI assigned

Apr 21, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1295479608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6437 SW 135TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331835020",
            "telephone_number": "305-763-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6437 SW 135TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331835020",
            "telephone_number": "305-763-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRILLO GONZALEZ",
        "first_name": "OLGA",
        "middle_name": "LIDIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-22-206161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD - BACB",
            "identifier": "RBT-22-206161",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ADDRESS",
            "affiliation": "N",
            "endpointDescription": "ADDRESS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6437 SW 135th Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331835020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anne Laure Grignon, MD
• Maria Alejandra Grijalba
• Kristen A. Barker Grill, MS, CGC
• Andres Grille Espada
• Grillo Acosta MD PA
• Grillo-Acosta MD PA
• Ayssa Grillo
• Elizabeth Grillo
• Melissa Grillo, M.D.
• Nina Beatriz Grimaldo

• Behavior Technician in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.