Individual provider Active NPI

Lorena Gonzalez, RBT

  • Behavior Technician
  • Coral Gables, FL
National Provider Identifier
1720859127
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-317436 Issued in FL
Practice address
717 Ponce de Leon Blvd Ste 307
Coral Gables, FL 33134-2070
Phone
(305) 952-3247
Fax
(305) 952-3248
NPI assigned
Jan 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 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-23-317436 FL Primary

Addresses

Primary practice location

717 Ponce de Leon Blvd Ste 307
Coral Gables, FL 33134-2070

Mailing address

23453 SW 129TH Ave
Homestead, FL 33032-9219
Phone (786) 707-0364

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-23-317436FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Desigual Therapy Services Inc CurrentSince Jan 21, 2024 Accepting new patients
Sunny Behavior LLC Past Accepting new patients

Locations

717 Ponce de Leon Blvd
Ste 307
Coral Gables, FL 33134
Phone (305) 444-6406

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": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1720859127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23453 SW 129TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330329219",
            "telephone_number": "786-707-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 PONCE DE LEON BLVD STE 307",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342070",
            "telephone_number": "305-952-3247",
            "fax_number": "305-952-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "LORENA",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-317436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.