Jaliyah Breanne Gonzales

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1171 Homestead Rd Ste 250
Santa Clara, CA 95050-5485

Phone

(408) 320-2590

NPI assigned

Mar 6, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1023576287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1947 GALILEO CT STE 101",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956184882",
            "telephone_number": "530-220-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 HOMESTEAD RD STE 250",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950505485",
            "telephone_number": "408-320-2590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1880 Cowell Blvd Apt 116",
            "address_purpose": "LOCATION",
            "city": "Davis",
            "state": "CA",
            "postal_code": "956186334",
            "country_code": "US",
            "telephone_number": "530-650-6863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "JALIYAH",
        "middle_name": "BREANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-06",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "F5103065",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerika Celeste Gomez
• Vanessa Gomez
• Yun Gong, L.A.C
• Katrina Gonzago
• Angela Alexis Gonzales
• Areli Gonzalez Mendez
• Diana Amatista Gonzalez-Fernandez
• Cassandra L Gonzalez-Galdamez
• Beatriz Gonzalez, LCSW
• Diego Silva Gonzalez

• Behavior Technician in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.