Individual provider Active NPI

Eric Adrian Perez Gonzalez, BCABA

  • Assistant Behavior Analyst
  • Miami, FL
National Provider Identifier
1972188670
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
2415336 Issued in FL
Practice address
14546 SW 113TH LN
Miami, FL 33186-7068
Phone
(786) 301-8258
NPI assigned
Mar 14, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 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
Assistant Behavior Analyst 106E00000X 2415336 FL Primary

Addresses

Primary practice location

14546 SW 113TH LN
Miami, FL 33186-7068

Mailing address

14546 SW 113TH LN
Miami, FL 33186-7068

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL CentralReach Health of Mind, Inc

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
2415336FLMDAssistant Behavior Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Psychology & Beyond, Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1972188670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14546 SW 113TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14546 SW 113TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867068",
            "telephone_number": "786-301-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ GONZALEZ",
        "first_name": "ERIC",
        "middle_name": "ADRIAN",
        "credential": "BCABA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-14",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "2415336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CentralReach",
            "affiliation": "Y",
            "affiliationName": "Health of Mind, Inc",
            "address_1": "8370 W Flagler St",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331442094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 30, 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.