Active NPI
Denise Bobbie Gonzalez
- Behavior Analyst
- Layton, UT
National Provider Identifier
1104420470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 992 E Nicholes Ave
Layton, UT 84040-5762 - Phone
- (801) 888-7654
- NPI assigned
- Nov 25, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
992 E Nicholes Ave
Layton, UT 84040-5762
Mailing address
6910 S Highland Dr
Cottonwood Heights, UT 84121-3060
Phone (800) 434-8923
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703635200000",
"number": "1104420470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6910 S HIGHLAND DR",
"city": "COTTONWOOD HEIGHTS",
"state": "UT",
"postal_code": "841213060",
"telephone_number": "800-434-8923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "992 E NICHOLES AVE",
"city": "LAYTON",
"state": "UT",
"postal_code": "840405762",
"telephone_number": "801-888-7654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "DENISE",
"middle_name": "BOBBIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-25",
"last_updated": "2023-12-27",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.