Juan Carlos Gonzalez

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-48525 Issued in FL

Practice address

12312 NW 98TH CT
Hialeah Gardens, FL 33018-2959

Phone

(786) 482-1049

NPI assigned

Sep 20, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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 and National Provider Directory roles.

• We Beehave, Inc.

  • Behavior Analyst
  • Stuart, FL
  • NPI 1811612328
  NPD (past)

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1851727911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12312 NW 98TH CT",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330182959",
            "telephone_number": "786-482-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12312 NW 98TH CT",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330182959",
            "telephone_number": "786-482-1049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 NW 79th Ave",
            "address_2": "Suite 501",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331666556",
            "country_code": "US",
            "telephone_number": "305-597-3861",
            "fax_number": "305-597-3863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27602 SW 134 CT",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "33032",
            "country_code": "US",
            "telephone_number": "786-226-2816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-20",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-17-7655",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-48525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018401500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mia Bella Gonzalez-Oliva
• Aleida Gonzalez
• Elayne Gabriela Gonzalez
• Fabian Gonzalez
• Jenny Gonzalez
• Juliette Gonzalez
• Mayvisel Gonzalez
• Melanie Gonzalez
• Reydel Gonzalez, D.D.S
• Stephanie Marie Gonzalez

• Behavior Analyst in Hialeah Gardens, FL
• Providers in Hialeah Gardens, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.