Individual provider Active NPI

Ronnier Olaeta-Gomez

  • Assistant Behavior Analyst
  • Fort Myers, FL
National Provider Identifier
1871123646
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-25-16052 Issued in FL
Practice address
8359 Beacon Blvd Ste 416
Fort Myers, FL 33907-3065
Phone
(239) 322-9597
NPI assigned
Jan 21, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X FL
Assistant Behavior Analyst 106E00000X 0-25-16052 FL Primary

Addresses

Primary practice location

8359 Beacon Blvd Ste 416
Fort Myers, FL 33907-3065

Mailing address

1005 NE 6TH PL
Cape Coral, FL 33909-1358
Phone (786) 312-0410

Other practice location 1

15670 SW 77th Ter Apt 16
Miami, FL 33193-3367
Phone (786) 312-0410

Other practice location 2

8785 SW 165th Ave Ste 104
Miami, FL 33193-5827
Phone (786) 205-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1871123646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 NE 6TH PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339091358",
            "telephone_number": "786-312-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8359 BEACON BLVD STE 416",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073065",
            "telephone_number": "239-322-9597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15670 SW 77th Ter Apt 16",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331933367",
            "country_code": "US",
            "telephone_number": "786-312-0410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8785 SW 165th Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331935827",
            "country_code": "US",
            "telephone_number": "786-205-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLAETA-GOMEZ",
        "first_name": "RONNIER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-21",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-25-16052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.