Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ivan Gomez Fonseca

Individual provider Behavior Technician · NPI 1881558443

Ivan Gomez Fonseca is a Behavior Technician in Miami, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025

Practice location Address checks out

4200 SW 112th Ave
Miami, FL 33165-4742
Phone: (786) 407-4878
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-25-497572 (FL)

Record details

NPI number1881558443
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 9, 2025
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025

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