Yamilet Gonzalez Lastre

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-35888 Issued in FL

Practice address

7400 SW 139TH Ter
Palmetto Bay, FL 33158-1228

Phone

(786) 294-3483

NPI assigned

May 31, 2016

Last updated

Nov 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vita Magic LLC

  • Behavior Analyst
  • Palmetto Bay, FL
  • NPI 1790493500
  NPD Authorized official
• Developmental Applied Behavior Solutions, Inc

  • Clinical Psychologist
  • Miami, FL
  • NPI 1073031589

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1841648979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 SW 139TH TER",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331581228",
            "telephone_number": "786-294-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 SW 139TH TER",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331581228",
            "telephone_number": "786-294-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ LASTRE",
        "first_name": "YAMILET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-19-35888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018068900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karina Gomez
• Yulier Gomez
• Dannier Gonzalez Chacon
• Yahumara Gonzalez Funes Lopez, ARNP-FNP
• Adria Gonzalez Garcia
• Elieser Gonzalez Reina
• Yailin Gonzalez Sainz
• Yanetsi Gonzalez Suarez, BCBA
• Analy Gonzalez
• Angela D Gonzalez, RMHC

• Behavior Analyst in Palmetto Bay, FL
• Providers in Palmetto Bay, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.