Mireidy Gonzalez Fernandez

Individual provider Active NPI Behavior Technician · Kendall, FL

NPI 1609756113 · NPPES record last updated Sep 4, 2025

Key facts

NPI
1609756113
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
6830 SW 132ND Ave
Kendall, FL 33183-2382
Phone
(786) 424-6598
NPI assigned
Sep 4, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

6830 SW 132ND Ave
Kendall, FL 33183-2382

Mailing address

6830 SW 132ND Ave
Kendall, FL 33183-2382
Phone (786) 424-6598

Other providers in Kendall, FL

All providers in Kendall, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.