Active NPI
Guianeya Grau Gonzalez
- Behavior Technician
- Pembroke Pines, FL
National Provider Identifier
1811570435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- G625280707570
- Practice address
- 403 SW 103Rd Ave Apt 304
Pembroke Pines, FL 33025-1881 - Phone
- (954) 478-4746
- NPI assigned
- May 2, 2021
- 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 | G625280707570 | Primary |
Addresses
Primary practice location
403 SW 103Rd Ave Apt 304
Pembroke Pines, FL 33025-1881
Mailing address
6617 Dahlia Dr
Miramar, FL 33023-4910
Phone (786) 212-7637
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 |
|---|---|---|---|
| Behavior Change, LLC | Behavior Technician | Current | 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": "1619913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620000000000",
"number": "1811570435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6617 DAHLIA DR",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330234910",
"telephone_number": "786-212-7637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 SW 103RD AVE APT 304",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330251881",
"telephone_number": "954-478-4746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAU GONZALEZ",
"first_name": "GUIANEYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-02",
"last_updated": "2021-05-03",
"certification_date": "2021-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "G625280707570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.