Individual provider Active NPI

Suset Thalia Gonzalez Duque

  • Behavior Technician
  • Hollywood, FL
National Provider Identifier
1437741857
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-135856 Issued in FL
Practice address
2638 Taylor St Apt E5
Hollywood, FL 33020-7505
Phone
(786) 597-8543
NPI assigned
Feb 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 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-20-135856 FL Primary

Addresses

Primary practice location

2638 Taylor St Apt E5
Hollywood, FL 33020-7505

Mailing address

2638 Taylor St Apt E5
Hollywood, FL 33020-7505
Phone (786) 597-8543

Other identifiers 1

IdentifierTypeStateIssuer
109404900MedicaidFL

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-20-135856FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Royalty Therapy Services LLC CurrentSince Feb 1, 2023 Accepting new patients
Psychology and Wellness by Sullivan Consulting, LLC Past Accepting new patients

Organizations & group practices 2

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": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1437741857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2638 TAYLOR ST APT E5",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330207505",
            "telephone_number": "786-597-8543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2638 TAYLOR ST APT E5",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330207505",
            "telephone_number": "786-597-8543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ DUQUE",
        "first_name": "SUSET",
        "middle_name": "THALIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-135856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109404900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.