Jose Gonzalez

Individual provider Active NPI Behavior Technician · Sweetwater, FL

NPI 1295623486 · NPPES record last updated Jun 25, 2025

Key facts

NPI
1295623486
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-25-443817 (FL)
Practice address
1400 NW 107TH Ave
Sweetwater, FL 33172-2791
Phone
(305) 502-6282
NPI assigned
Jun 25, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RBT-25-443817FLMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-25-443817 FL Yes

Addresses

Primary practice location

1400 NW 107TH Ave
Sweetwater, FL 33172-2791

Mailing address

15500 SW 123Rd Ave
Miami, FL 33177-6830
Phone (786) 857-4035

Other providers in Sweetwater, FL

All providers in Sweetwater, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.