Individual provider Active NPI

Amanda Pubillones Gonzalez

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1619749066
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-304564 Issued in FL
Practice address
10227 NW 9TH Street Cir Apt 403
Miami, FL 33172-3269
Phone
(786) 616-6063
NPI assigned
Oct 27, 2023
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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-23-304564 FL Primary

Addresses

Primary practice location

10227 NW 9TH Street Cir Apt 403
Miami, FL 33172-3269

Mailing address

10227 NW 9TH Street Cir Apt 403
Miami, FL 33172-3269
Phone (786) 616-6063

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-23-304564FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1619749066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10227 NW 9TH STREET CIR APT 403",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331723269",
            "telephone_number": "786-616-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10227 NW 9TH STREET CIR APT 403",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331723269",
            "telephone_number": "786-616-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUBILLONES GONZALEZ",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-27",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-304564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.