Angelica Maria Gomez, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT21-167968 Issued in FL

Practice address

585 E 28TH St
Hialeah, FL 33013-3643

Phone

(786) 659-7686

NPI assigned

Sep 2, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dcn@emanuelabaservices.com

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.

• Pro-Health Behavioral Center Corporation

  • Behavior Analyst
  • Miami, FL
  • NPI 1669187241
  NPD (past)

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1760150734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 E 28TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133643",
            "telephone_number": "786-659-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 E 28TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133643",
            "telephone_number": "786-659-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "ANGELICA",
        "middle_name": "MARIA",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT21-167968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DCN@emanuelabaservices.com",
            "affiliation": "Y",
            "endpointDescription": "Agency",
            "affiliationName": "Emanuel ABA services LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "20283 State Road 7",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334986901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carlos Gomez Yanta, RBT
• Agilda Gomez
• America Karina Gomez, MH ARNP
• Andrea Gomez
• Andres Gomez, APRN
• Ariam Gomez, MA
• Beatriz Gomez
• Belkis Gomez
• Chayma Gomez
• Cheyla Gomez, OCCUPATIONAL THERAPY

• Behavior Technician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.