Active NPI
Mayli Gonzalez
- Behavior Technician
- West Palm Beach, FL
National Provider Identifier
1740926872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2101 Vista Pkwy Ste 4009
West Palm Beach, FL 33411-2706 - Phone
- (561) 228-7443
- Fax
- (772) 232-8357
- NPI assigned
- May 11, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
2101 Vista Pkwy Ste 4009
West Palm Beach, FL 33411-2706
Mailing address
2101 Vista Pkwy Ste 4009
West Palm Beach, FL 33411-2706
Phone (561) 228-7443
Other practice location 1
850 NW Federal Hwy Ste 407
Stuart, FL 34994-1019
Phone (954) 616-7368
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Five Star ABA Services Corp. | Behavior Analyst | Current | Accepting new patients |
Locations
850 NW US Highway 1
Stuart, FL 34994
Phone (772) 362-9878
2101 Vista Pkwy
Ste 4009
West Palm Beach, FL 33411
Phone (561) 228-7443
Organizations & group practices 1
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.
-
- Behavior Analyst
- West Palm Beach, FL
- NPI 1700522844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1740926872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 VISTA PKWY STE 4009",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334112706",
"telephone_number": "561-228-7443",
"fax_number": "772-232-8357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 VISTA PKWY STE 4009",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334112706",
"telephone_number": "561-228-7443",
"fax_number": "772-232-8357"
}
],
"practiceLocations": [
{
"address_1": "850 NW Federal Hwy Ste 407",
"address_purpose": "LOCATION",
"city": "Stuart",
"state": "FL",
"postal_code": "349941019",
"country_code": "US",
"telephone_number": "954-616-7368",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "MAYLI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-11",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.