Individual provider Active NPI

Yaquelin Vila-Gonzalez, BCBA

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1982992962
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-37508
Practice address
1840 SW 89TH PL
Miami, FL 33165-7859
Phone
(786) 738-2233
NPI assigned
Jul 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Behavior Analyst 103K00000X 1-19-37508 Primary

Addresses

Primary practice location

1840 SW 89TH PL
Miami, FL 33165-7859

Mailing address

1840 SW 89TH PL
Miami, FL 33165-7859
Phone (786) 738-2233

Other practice location 1

3830 W Flagler St
Coral Gables, FL 33134-1604
Phone (305) 774-3600

Other practice location 2

9600 NW 25th St Ste Ph
Doral, FL 33172-1416
Phone (305) 597-3861

Other names 1

  • Yaquelin Gonzalez Fernandez Other name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Behaviour Support and Consultant Inc CurrentSince Nov 27, 2022 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": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1982992962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 SW 89TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657859",
            "telephone_number": "786-738-2233",
            "fax_number": "305-757-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 SW 89TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657859",
            "telephone_number": "786-738-2233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3830 W Flagler St",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331341604",
            "country_code": "US",
            "telephone_number": "305-774-3600",
            "fax_number": "305-476-2640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9600 NW 25th St Ste Ph",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331721416",
            "country_code": "US",
            "telephone_number": "305-597-3861",
            "fax_number": "305-597-3863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILA-GONZALEZ",
        "first_name": "YAQUELIN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-19-37508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YAQUELIN",
            "last_name": "GONZALEZ FERNANDEZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 1, 2019; 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.