Individual provider Active NPI

Mailyn Hernandez Gomez

  • Behavior Technician
  • Hialeah, FL
National Provider Identifier
1720750839
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1490 W 49TH PL Ste 401
Hialeah, FL 33012-8142
Phone
(786) 294-0255
Fax
(786) 953-6517
NPI assigned
Sep 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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 Primary

Addresses

Primary practice location

1490 W 49TH PL Ste 401
Hialeah, FL 33012-8142

Mailing address

1490 W 49TH PL Ste 401
Hialeah, FL 33012-8142
Phone (786) 294-0255

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

Practice roles

OrganizationSpecialtyStatusNew patients
A&T Behavior Solution Corp CurrentSince Dec 6, 2022 Accepting new patients
Gomez Behavioral Solution, LLC Current Accepting new patients

Locations

1490 W 49th Pl
Ste 401
Hialeah, FL 33012
Phone (786) 294-0255

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1720750839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 W 49TH PL STE 401",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330128142",
            "telephone_number": "786-294-0255",
            "fax_number": "786-953-6517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 W 49TH PL STE 401",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330128142",
            "telephone_number": "786-294-0255",
            "fax_number": "786-953-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ GOMEZ",
        "first_name": "MAILYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.