Zuylen De la Caridad Miranda Gonzalez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

24-386950 Issued in FL

Practice address

1137 Bartow Rd Ste 207
Lakeland, FL 33801-5828

Phone

(786) 278-8655

Fax

(863) 583-8955

NPI assigned

Mar 20, 2025

Last updated

Mar 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Ocean Blue Behavior Therapy Inc

  • Behavior Analyst
  • Lakeland, FL
  • NPI 1114790227
  NPD

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1982405510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 ZAMORA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344045",
            "telephone_number": "786-792-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 BARTOW RD STE 207",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015828",
            "telephone_number": "786-278-8655",
            "fax_number": "863-583-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA GONZALEZ",
        "first_name": "ZUYLEN",
        "middle_name": "DE LA CARIDAD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "24-386950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriella Rae Minenna, PA-C
• Stephanie Dodd Minerella, OD
• Mark Harold Mines, MD
• Jasmaine Minnis
• Cheryl Adele Minozzi, PHARMD
• Roberto Miranda-Quesda, APRN
• A'Lyse Mellys Miranda
• Diane Miranda
• Max Miranda, PA
• Mis Provider Network LLC

• Behavior Technician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.