Active NPI
Liliet Dominguez Gonzalez
- Behavior Analyst
- Miami, FL
National Provider Identifier
1932611902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-55109
- Practice address
- 10554 SW 181St St
Miami, FL 33157-5282 - Phone
- (786) 371-5982
- NPI assigned
- Oct 31, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | |||
| Behavior Analyst | 103K00000X | 1-21-55109 | FL | Primary |
Addresses
Primary practice location
10554 SW 181St St
Miami, FL 33157-5282
Mailing address
10554 SW 181St St
Miami, FL 33157-5282
Phone (786) 371-5982
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": "1509408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1932611902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10554 SW 181ST ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331575282",
"telephone_number": "786-371-5982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10554 SW 181ST ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331575282",
"telephone_number": "786-371-5982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGUEZ GONZALEZ",
"first_name": "LILIET",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-31",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-21-55109",
"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 Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.