Individual provider Active NPI

Mildre Zayas Gonzalez

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1871383612
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB1215396 Issued in FL
Practice address
4455 NW 3Rd St
Miami, FL 33126-5323
Phone
(786) 277-3115
NPI assigned
May 6, 2025
Last updated
May 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X BACB1215396 FL Primary

Addresses

Primary practice location

4455 NW 3Rd St
Miami, FL 33126-5323

Mailing address

4455 NW 3Rd St
Miami, FL 33126-5323
Phone (786) 277-3115

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

State licenses

LicenseStateTypeSpecialty
BACB1215396FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1871383612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 NW 3RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265323",
            "telephone_number": "786-277-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 NW 3RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265323",
            "telephone_number": "786-277-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAYAS GONZALEZ",
        "first_name": "MILDRE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB1215396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

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