Lais Gonzalez Armenteros

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB1102485 Issued in FL

Practice address

4260 Lakewood Rd Apt 204
Lake Worth, FL 33461-3455

Phone

(561) 935-8100

Fax

(786) 580-4771

NPI assigned

Aug 15, 2024

Last updated

Sep 3, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• WP Behavioral Health Services Corp

  • Behavior Analyst
  • West Palm Beach, FL
  • NPI 1699367334
  NPD (past)

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1316779523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4260 LAKEWOOD RD APT 204",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613455",
            "telephone_number": "561-935-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4260 LAKEWOOD RD APT 204",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613455",
            "telephone_number": "561-935-8100",
            "fax_number": "786-580-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ ARMENTEROS",
        "first_name": "LAIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB1102485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Gomez, OTA
• Fabiana Gomez
• Noleys Gomez
• Valery Gonzales Victores
• Josiephine M Gonzales, PT
• Zadys Gonzalez Castellon
• Daniela Gonzalez Gallardo
• Mariam Gonzalez Jimenez
• Miriela Gonzalez Jimenez
• Alianet Gonzalez Leyva

• Behavior Technician in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.