Active NPI
Jose Luis Gainza Perez
- Behavior Analyst
- Pompano Beach, FL
National Provider Identifier
1952865594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-71899
- Practice address
- 320 SE 11TH Ave Apt 301
Pompano Beach, FL 33060-7409 - Phone
- (954) 422-3242
- NPI assigned
- Jan 28, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-71092 | FL | |
| Behavior Analyst | 103K00000X | 1-24-71899 | FL | Primary |
Addresses
Primary practice location
320 SE 11TH Ave Apt 301
Pompano Beach, FL 33060-7409
Mailing address
320 SE 11TH Ave Apt 310
Pompano Beach, FL 33060-7409
Phone (954) 422-3242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103130200 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-71092 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711152000000",
"number": "1952865594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 SE 11TH AVE APT 310",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330607409",
"telephone_number": "954-422-3242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 SE 11TH AVE APT 301",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330607409",
"telephone_number": "954-422-3242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAINZA PEREZ",
"first_name": "JOSE",
"middle_name": "LUIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-28",
"last_updated": "2024-03-23",
"certification_date": "2024-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-18-71092",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-24-71899",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103130200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.