Active NPI
Irina Leonidovna Gontar, BCBA
- Behavior Analyst
- Citrus Heights, CA
National Provider Identifier
1114542719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-77334
- Practice address
- 7806 Uplands Way
Citrus Heights, CA 95610-7567 - Phone
- (310) 856-0800
- NPI assigned
- Jun 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 1-24-77334 | CA | Primary |
Addresses
Primary practice location
7806 Uplands Way
Citrus Heights, CA 95610-7567
Mailing address
18726 S Western Ave
Gardena, CA 90248-3813
Phone (310) 856-0800
Other practice location 1
3003 Northup Way Ste 200
Bellevue, WA 98004-1480
Phone (425) 822-6442
Other practice location 2
3336 Bradshaw Rd Ste 140
Sacramento, CA 95827-2697
Phone (916) 632-1330
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Behavioral Associates | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Bellevue, WA
- NPI 1861615122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1114542719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18726 S WESTERN AVE",
"city": "GARDENA",
"state": "CA",
"postal_code": "902483813",
"telephone_number": "310-856-0800",
"fax_number": "855-568-2494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7806 UPLANDS WAY",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956107567",
"telephone_number": "310-856-0800"
}
],
"practiceLocations": [
{
"address_1": "3003 Northup Way Ste 200",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980041480",
"country_code": "US",
"telephone_number": "425-822-6442",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3336 Bradshaw Rd Ste 140",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958272697",
"country_code": "US",
"telephone_number": "916-632-1330",
"fax_number": "855-568-2494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONTAR",
"first_name": "IRINA",
"middle_name": "LEONIDOVNA",
"name_prefix": "Mrs.",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-10",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-24-77334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Citrus Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.