Individual provider Active NPI

Magyulis Gonzalez Guevara

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1366103103
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
18117 SW 139TH Path
Miami, FL 33177-7728
Phone
(786) 314-1855
NPI assigned
Jan 4, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

18117 SW 139TH Path
Miami, FL 33177-7728

Mailing address

18117 SW 139TH Path
Miami, FL 33177-7728
Phone (786) 314-1855

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

Practice roles

OrganizationSpecialtyStatusNew patients
Flourish Behavioral Services LLC Behavior Analyst CurrentSince Sep 15, 2024 Accepting new patients
Blue Life Services Inc Behavior Analyst CurrentSince Nov 19, 2023 Accepting new patients
Pro-Health Behavioral Center Corporation Behavior Analyst Past Accepting new patients

Organizations & group practices 3

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": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1366103103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18117 SW 139TH PATH",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331777728",
            "telephone_number": "786-314-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18117 SW 139TH PATH",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331777728",
            "telephone_number": "786-314-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ GUEVARA",
        "first_name": "MAGYULIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "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 Oct 7, 2022; 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.