Active NPI
Ary Fernandez Gonzalez
- Behavior Technician
- Miramar, FL
National Provider Identifier
1427811934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-323200
- Practice address
- 2401 W Preserve Way Apt 102
Miramar, FL 33025-6592 - Phone
- (786) 634-9451
- NPI assigned
- Feb 6, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-323200 | FL | Primary |
Addresses
Primary practice location
2401 W Preserve Way Apt 102
Miramar, FL 33025-6592
Mailing address
2401 W Preserve Way Apt 102
Miramar, FL 33025-6592
Phone (786) 634-9451
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121789500 | 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-24-323200 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714262400000",
"number": "1427811934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 W PRESERVE WAY APT 102",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330256592",
"telephone_number": "786-634-9451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 W PRESERVE WAY APT 102",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330256592",
"telephone_number": "786-634-9451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ GONZALEZ",
"first_name": "ARY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-06",
"last_updated": "2024-04-28",
"certification_date": "2024-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-24-323200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121789500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.