Individual provider Active NPI

Chantell Caridad Gonzalez

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1326800087
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-323406 Issued in FL
Practice address
13000 SW 133Rd CT Unit 1
Miami, FL 33186-5855
Phone
(786) 732-2139
Fax
(786) 732-2598
NPI assigned
Jan 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-323406 FL Primary

Addresses

Primary practice location

13000 SW 133Rd CT Unit 1
Miami, FL 33186-5855

Mailing address

11740 SW 181St Ter
Miami, FL 33177-2431
Phone (305) 297-3022

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

State licenses

LicenseStateTypeSpecialty
RBT-24-323406FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
My Community Support Services, LLC CurrentSince Feb 4, 2024 Accepting new patients

Locations

13000 SW 133rd Ct
Unit 1
Miami, FL 33186
Phone (786) 732-2139

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1326800087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11740 SW 181ST TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331772431",
            "telephone_number": "305-297-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 SW 133RD CT UNIT 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865855",
            "telephone_number": "786-732-2139",
            "fax_number": "786-732-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "CHANTELL",
        "middle_name": "CARIDAD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-323406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

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