Gisell Da Costa Gomez Gonzalez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

420 S State Rd #174
Royal Palm Beach, FL 33414

Phone

(561) 568-9367

NPI assigned

May 2, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Square One Behavioral Services Inc.

  • Speech-Language Pathologist
  • Royal Palm Beach, FL
  • NPI 1558076604
  NPD

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1689363178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 GRAND CYPRESS CIR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637362",
            "telephone_number": "561-843-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S STATE RD #174",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "561-568-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ GONZALEZ",
        "first_name": "GISELL",
        "middle_name": "DA COSTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gold Hands Home Care Inc
• David Goldberg, D.D.S.
• Sydney Goldstein, OD
• Lisa Gomes, PMHNP-BC
• Yanaily Gomez Alvarez
• Erica Gomez
• Melissa M. Gomez, LCSW
• Daymaris Gonzalez Barroso
• Elizabeth L Gonzalez Bruno, DC
• Jessica Gonzalez Muro, CSA

• Behavior Technician in Royal Palm Beach, FL
• Providers in Royal Palm Beach, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.