Judith Milian Gonzalez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

8359 Beacon Blvd Ste 416
Fort Myers, FL 33907-3065

Phone

(305) 484-4968

NPI assigned

Aug 24, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1566604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566604800000",
    "number": "1720635600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 NE 16TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339096224",
            "telephone_number": "305-484-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8359 BEACON BLVD STE 416",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073065",
            "telephone_number": "305-484-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILIAN GONZALEZ",
        "first_name": "JUDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-24",
        "last_updated": "2019-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103571300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Leigh Milcarek, PHARMD
• Jameson Juan Miles, B.S.
• Milestones Wellness Centers
• Steven Milhauser, PA
• Timothy Milhomme
• Ruth Milien Jonathas, ARNP
• Michelle Milita
• Janet Millan
• Millennium Health Care Inc.
• Millennium Independent Physician Network

• Behavior Technician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2019; 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.