Organization Active NPI

Gomez Behavioral Therapy LLC

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1932979598
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
GOMEZ BEHAVIORAL THERAPY LLC
Practice address
12356 SW 197TH Ter
Miami, FL 33177-4950
Phone
(786) 340-6990
NPI assigned
Jan 4, 2024
Last updated
Jan 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Arianna Gomez VerdeciaNPI 1407447956
Title
Ceo
Phone
(786) 340-6990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

12356 SW 197TH Ter
Miami, FL 33177-4950

Mailing address

12356 SW 197TH Ter
Miami, FL 33177-4950
Phone (786) 340-6990

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1932979598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12356 SW 197TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331774950",
            "telephone_number": "786-340-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12356 SW 197TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331774950",
            "telephone_number": "786-340-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOMEZ BEHAVIORAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "GOMEZ VERDECIA",
        "authorized_official_first_name": "ARIANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-340-6990"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "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 Jan 4, 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.

Verify at the official NPI Registry.