Osvaldo Gonzalez Lopez, BCABA

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

19-9923 Issued in FL

Practice address

15819 NW 4TH St
Pembroke Pines, FL 33028-1593

Phone

(305) 987-1377

NPI assigned

Dec 26, 2018

Last updated

Dec 20, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1558833822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8974 NW 112TH TER",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184517",
            "telephone_number": "305-987-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15819 NW 4TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281593",
            "telephone_number": "305-987-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ LOPEZ",
        "first_name": "OSVALDO",
        "credential": "BCABA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-26",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "19-9923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023554800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Israel Gonzalez Delgado
• Suylen Gonzalez Dominguez
• Leisy Gonzalez Frontela
• Andres Gonzalez Garcia
• Jenniffer Gonzalez Garcia
• Alberto Jose Gonzalez Martinez
• Nydia Gonzalez Martinez, RBT
• Melanie Alejandra Gonzalez Navarro
• Janet Gonzalez Orihuela, MSN, ARNP, FNP
• Dianelis Gonzalez Pupo

• Assistant Behavior Analyst in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Assistant Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.