Angelica Bacon-Gonzalez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

139 Hugo St.
Apt. 3
San Francisco, CA 94122-2760

Phone

(415) 412-0792

NPI assigned

Mar 14, 2023

Last updated

Mar 14, 2023By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1023719390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 HUGO ST.",
            "address_2": "APT. 3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941222760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 HUGO ST.",
            "address_2": "APT. 3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941222760",
            "telephone_number": "415-412-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACON-GONZALEZ",
        "first_name": "ANGELICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "abacon@adaptbehavioralcollective.com",
            "affiliation": "N",
            "address_1": "139 Hugo St.",
            "address_2": "Apt. 3",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941222760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Behavior Technician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.