KCL Behavior LLC

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Legal business name

KCL BEHAVIOR LLC

Practice address

3300 NW 179TH St
Miami Gardens, FL 33056-3418

Phone

(908) 220-4918

NPI assigned

Nov 30, 2021

Last updated

Nov 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenia C Lopez GonzalezNPI 1700540259

Title

President

Phone

(908) 220-4918

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenia C Lopez Gonzalez

  • Behavior Technician
  • Miami Gardens, FL
  • NPI 1700540259
  NPD Authorized official

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1811655624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 NW 179TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330563418",
            "telephone_number": "908-220-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 NW 179TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330563418",
            "telephone_number": "908-220-4918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KCL BEHAVIOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "LOPEZ GONZALEZ",
        "authorized_official_first_name": "KENIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-220-4918"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idalia Junco, RBT-20-133734
• Marena Justo Gomez
• Melody Nicole Kaigler, RDN/LDN
• Elise Karnegis, RD, LDN
• Kathleen Beatrice King Services Inc
• KD Establishments
• Cristine Desiree Keller, P.T.
• Chiqueta T Kendrick, RN
• Kiyunii Kendrick
• Aneurys Keppis Castillo

• Behavior Technician in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.