Individual provider Active NPI

Andres Gomez

  • Assistant Behavior Analyst
  • Sunrise, FL
National Provider Identifier
1316487135
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
Practice address
440 Sawgrass Corporate Pkwy
Suite 106
Sunrise, FL 33325-6244
Phone
(954) 745-1112
Fax
(954) 745-1129
NPI assigned
Feb 27, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X Primary

Addresses

Primary practice location

440 Sawgrass Corporate Pkwy
Suite 106
Sunrise, FL 33325-6244

Mailing address

9310 Fontainebleau Blvd Apt 311
Miami, FL 33172-4252
Phone (305) 898-5779

Other practice location 1

1414 NW 107th Ave Ste 301
Sweetwater, FL 33172-2742
Phone (786) 505-4449

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

NPI Registry JSON

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1316487135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9310 FONTAINEBLEAU BLVD APT 311",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724252",
            "telephone_number": "305-898-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 SAWGRASS CORPORATE PKWY",
            "address_2": "SUITE 106",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333256244",
            "telephone_number": "954-745-1112",
            "fax_number": "954-745-1129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1414 NW 107th Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Sweetwater",
            "state": "FL",
            "postal_code": "331722742",
            "country_code": "US",
            "telephone_number": "786-505-4449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "ANDRES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-27",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.