Belkis Lara Gonzalez

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BCBA12045036 Issued in FL

Practice address

27022 SW 138TH Ave Apt a
Homestead, FL 33032

Phone

(786) 626-5119

NPI assigned

May 23, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Pathway Behavior Solutions Corp

  • Behavior Analyst
  • Doral, FL
  • NPI 1306698857
  NPD Authorized official

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1871020776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27022 SW 138TH AVE APT A",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328050",
            "telephone_number": "786-626-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27022 SW 138TH AVE APT A",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "33032",
            "telephone_number": "786-626-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA GONZALEZ",
        "first_name": "BELKIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT1856548",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "BCBA12045036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Landin
• Thomas Lane
• Tomas H. Lang, D.D.S.
• Mindy Langlois, MA, ATC, CSCS, ITAT
• Valia Lantigua
• Sulma Lara Ortega
• Ayegza Lara
• Cynthia Lara
• Dianelys Lara, RBT
• Nadine Laraque Picault, SLPA

• Behavior Analyst in Homestead, FL
• Providers in Homestead, 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 3, 2020; 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.