Individual provider Active NPI

Alisney Lopez Gonzalez

  • Behavior Technician
  • Homestead, FL
National Provider Identifier
1437838109
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
23277085 Issued in FL
Practice address
25921 SW 132ND Ave
Homestead, FL 33032-6963
Phone
(305) 333-9943
NPI assigned
Jul 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 23-277085 FL
Behavior Technician 106S00000X 23277085 FL Primary

Addresses

Primary practice location

25921 SW 132ND Ave
Homestead, FL 33032-6963

Mailing address

25921 SW 132ND Ave
Homestead, FL 33032-6963
Phone (305) 333-9943

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
23-277085FLMDAssistant Behavior Analyst
23277085FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1437838109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25921 SW 132ND AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330326963",
            "telephone_number": "305-333-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25921 SW 132ND AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330326963",
            "telephone_number": "305-333-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ GONZALEZ",
        "first_name": "ALISNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "23-277085",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "23277085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.