Active NPI
Josefina Gonzalez
- Behavior Technician
- Miami Gardens, FL
National Provider Identifier
1801244967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 15-03742
- Practice address
- 3881 NW 171St St
Miami Gardens, FL 33055-4534 - Phone
- (786) 426-8290
- NPI assigned
- May 31, 2016
- Last updated
- Aug 6, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 15-03742 | FL | Primary |
Addresses
Primary practice location
3881 NW 171St St
Miami Gardens, FL 33055-4534
Mailing address
1547 W 60TH St
Hialeah, FL 33012-6258
Phone (786) 426-8290
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-15-03742 | Other | FL | REGISTERD BEHAVIOR TECHNICIAN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15-03742 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565049600000",
"number": "1801244967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1547 W 60TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330126258",
"telephone_number": "786-426-8290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3881 NW 171ST ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330554534",
"telephone_number": "786-426-8290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JOSEFINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-31",
"last_updated": "2019-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "15-03742",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERD BEHAVIOR TECHNICIAN",
"identifier": "RBT-15-03742",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.