Individual provider Active NPI

Yunior Gonzalez Perez

  • Behavior Technician
  • Miami Gardens, FL
National Provider Identifier
1629810080
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-352260 Issued in FL
Practice address
2340 NW 162ND St
Miami Gardens, FL 33054-6540
Phone
(786) 266-0149
NPI assigned
Jun 7, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 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-24-352260 FL Primary

Addresses

Primary practice location

2340 NW 162ND St
Miami Gardens, FL 33054-6540

Mailing address

2340 NW 162ND St
Miami Gardens, FL 33054-6540
Phone (786) 266-0149

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL securerecords.sandford.html

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-24-352260FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1629810080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 NW 162ND ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330546540",
            "telephone_number": "786-266-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 NW 162ND ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330546540",
            "telephone_number": "786-266-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ PEREZ",
        "first_name": "YUNIOR",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-352260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "securerecords.sandford.html",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2340 NW 162nd St",
            "city": "Miami Gardens",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330546540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

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