Israel Gonzalez Mendez, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT20116995 Issued in FL

Practice address

12345 SW 18TH St Apt 316
Miami, FL 33175-1518

Phone

(786) 626-3864

NPI assigned

Oct 21, 2021

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1861155293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12345 SW 18TH ST APT 316",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331751518",
            "telephone_number": "786-626-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12345 SW 18TH ST APT 316",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331751518",
            "telephone_number": "786-626-3864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ MENDEZ",
        "first_name": "ISRAEL",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT20116995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106606700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jany Gonzalez Medina
• Tania Gonzalez Medina
• Yusimid Gonzalez Melchor
• Orialicia Gonzalez Melian
• Andrea Gonzalez Mendez
• Noel Gonzalez Merlo, NP
• Marwi Gonzalez Mesa
• Michelle Stefani Gonzalez Molero III
• Monica Gonzalez Molleda
• Berta Claudia Gonzalez Montalvo

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.