Individual provider Active NPI

Dana Gabriela Perez Gomes, BCBA

  • Behavior Analyst
  • Coconut Creek, FL
National Provider Identifier
1568029940
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-22-62017 Issued in FL
Practice address
6810 N State Road 7 Ste 129
Coconut Creek, FL 33073-4304
Phone
(954) 248-1171
NPI assigned
May 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 1-22-62017 FL Primary

Addresses

Primary practice location

6810 N State Road 7 Ste 129
Coconut Creek, FL 33073-4304

Mailing address

9827 NW 43Rd Ter
Doral, FL 33178-3334

Other practice location 1

5400 S University Dr Ste 502
Davie, FL 33328-5313
Phone (888) 754-0398

Other practice location 2

7440 SW 50th Ter Ste 100
Miami, FL 33155-4413
Phone (786) 803-8982

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

NPI Registry JSON

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1568029940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9827 NW 43RD TER",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331783334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 N STATE ROAD 7 STE 129",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734304",
            "telephone_number": "954-248-1171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5400 S University Dr Ste 502",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333285313",
            "country_code": "US",
            "telephone_number": "888-754-0398",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7440 SW 50th Ter Ste 100",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331554413",
            "country_code": "US",
            "telephone_number": "786-803-8982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ GOMES",
        "first_name": "DANA",
        "middle_name": "GABRIELA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-22-62017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.