Individual provider Active NPI

Katherin Y Gonzalez Guaimacuto

  • Behavior Technician
  • Fort Lauderdale, FL
National Provider Identifier
1356220164
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-25-464769 Issued in FL
Practice address
815 NW 2ND Ave
Fort Lauderdale, FL 33311-7412
Phone
(954) 646-0448
NPI assigned
Aug 27, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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-25-464769 FL Primary

Addresses

Primary practice location

815 NW 2ND Ave
Fort Lauderdale, FL 33311-7412

Mailing address

815 NW 2ND Ave
Fort Lauderdale, FL 33311-7412
Phone (954) 646-0448

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-25-464769FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1356220164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 NW 2ND AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333117412",
            "telephone_number": "954-646-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 NW 2ND AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333117412",
            "telephone_number": "954-646-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ GUAIMACUTO",
        "first_name": "KATHERIN",
        "middle_name": "Y",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-25-464769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.