Active NPI
Lisy Rivero Gonzalez, BCABA
- Assistant Behavior Analyst
- Pembroke Pines, FL
National Provider Identifier
1396361838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 0-25-15784
- Practice address
- 814 SW 147TH Ave
Pembroke Pines, FL 33027-6126 - Phone
- (786) 372-5051
- NPI assigned
- Jun 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 0-25-15784 | FL | Primary |
| Behavior Technician | 106S00000X | RBT-20-116037 | FL |
Addresses
Primary practice location
814 SW 147TH Ave
Pembroke Pines, FL 33027-6126
Mailing address
814 SW 147TH Ave
Pembroke Pines, FL 33027-6126
Phone (786) 372-5051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1061491000 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-116037 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774396800000",
"number": "1396361838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 SW 147TH AVE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330276126",
"telephone_number": "786-372-5051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 SW 147TH AVE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330276126",
"telephone_number": "786-372-5051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERO GONZALEZ",
"first_name": "LISY",
"name_prefix": "Miss",
"credential": "BCABA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-21",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "FL",
"license": "0-25-15784",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-20-116037",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1061491000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.