Individual provider Active NPI

Belen C Gonzalez Elizondo

  • Behavior Technician
  • Medley, FL
National Provider Identifier
1982104915
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
8740 NW 97TH Ave Apt 201
Medley, FL 33178-2579
Phone
(786) 280-1539
NPI assigned
Feb 16, 2018
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X FL Primary

Addresses

NPPES NPI Registry

Primary practice location

8740 NW 97TH Ave Apt 201
Medley, FL 33178-2579

Mailing address

8740 NW 97TH Ave Apt 201
Medley, FL 33178-2579
Phone (786) 280-1539

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 16, 2018.

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1982104915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8740 NW 97TH AVE APT 201",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331782579",
            "telephone_number": "786-280-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8740 NW 97TH AVE APT 201",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331782579",
            "telephone_number": "786-280-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ ELIZONDO",
        "first_name": "BELEN",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medley, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.