Michele Gonzales, MSED, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-15788 Issued in CO

Practice address

614 Yucca Dr
Grand Junction, CO 81507-1026

Phone

(970) 314-5706

NPI assigned

Sep 10, 2014

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Swann Services

  • Developmentally Disabled Services Day Training Agency
  • Grand Junction, CO
  • NPI 1972327351
  NPD Authorized official

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1013318906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 YUCCA DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815071026",
            "telephone_number": "970-314-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 YUCCA DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815071026",
            "telephone_number": "970-314-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "MICHELE",
        "credential": "MSED, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-10",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-14-15788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Gollub, MD
• Dalia Gomez Aguilera
• Jade Lauren Gomez-Chavarria, PA-C
• Genavee Lanee Gonzales
• Kari L Gonzales, M.A. LPC
• Shania Gonzales
• Emily Lynn Gonzalez, DPT, PT
• Good Samaritan Clinic of Western Colorado
• Katrina Jeanne Good
• Tara Good

• Behavior Analyst in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.