Individual provider Active NPI

Heyoan Valdes Gonzalez, RBT

  • Behavior Technician
  • Titusville, FL
National Provider Identifier
1750156147
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
23-307878 Issued in FL
Practice address
3880 Catalina St
Titusville, FL 32796-2211
Phone
(321) 346-8450
NPI assigned
Nov 16, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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 23-307878 FL Primary

Addresses

Primary practice location

3880 Catalina St
Titusville, FL 32796-2211

Mailing address

3880 Catalina St
Titusville, FL 32796-2211
Phone (321) 346-8450

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
23-307878FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Endless Possibilities Therapy and Learning LLC CurrentSince Nov 19, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1750156147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 CATALINA ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962211",
            "telephone_number": "321-346-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 CATALINA ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962211",
            "telephone_number": "321-346-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES GONZALEZ",
        "first_name": "HEYOAN",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "23-307878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.