NPIMap

Individual provider Active NPI

Yesenia Gomez, MS, BCBA

  • Behavior Analyst
  • Norcross, GA
National Provider Identifier
1124641485
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
35 Technology Pkwy S
Norcross, GA 30092-2996
Phone
(833) 628-8476
NPI assigned
May 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X GA
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

35 Technology Pkwy S
Norcross, GA 30092-2996

Mailing address

4190 Monaghan Way
Atlanta, GA 30349-2762

Other practice location 1

2083 Newnan Crossing Blvd E
Newnan, GA 30265-2606
Phone (470) 241-1408

Other practice location 2

833 Hurricane Shoals Rd NE
Lawrenceville, GA 30043-4821
Phone (833) 628-8476

Other practice location 3

1356 Bluegrass Lakes Pkwy
Alpharetta, GA 30004-3395
Phone (833) 628-8476

Other names 1

  • Yesenia Palma Former name

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Autism Center Inc Behavior Analyst PastSince Oct 1, 2021 Accepting new patients
Sunstars ABA Ga LLC Behavior Analyst Past Accepting new patients
Achievements ABA Therapy Ga LLC Behavior Analyst Past Accepting new patients
Gwinnett Pediatric Partners, Inc Past Accepting new patients
Milestones Moments LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1124641485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4190 MONAGHAN WAY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303492762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 TECHNOLOGY PKWY S",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922996",
            "telephone_number": "833-628-8476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2083 Newnan Crossing Blvd E",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302652606",
            "country_code": "US",
            "telephone_number": "470-241-1408",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "833 Hurricane Shoals Rd NE",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300434821",
            "country_code": "US",
            "telephone_number": "833-628-8476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1356 Bluegrass Lakes Pkwy",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300043395",
            "country_code": "US",
            "telephone_number": "833-628-8476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "YESENIA",
        "credential": "MS, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YESENIA",
            "last_name": "PALMA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.