Erika Gonzalez, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

12152964 Issued in NY

Practice address

5945 161St St
Fresh Meadows, NY 11365-1414

Phone

(718) 395-4522

NPI assigned

Mar 31, 2020

Last updated

Jan 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Synergy Applied Behavior Analysis

  • Behavior Analyst
  • Brooklyn, NY
  • NPI 1518787977
  NPD Authorized official

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1225666480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 CATON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112182604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5945 161ST ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651414",
            "telephone_number": "718-395-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ERIKA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "12152964",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NY",
            "license": "1873967",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Goldstein
• Juanpaulo Emiro Gomez Gutierrez, LMT
• Patricia Gomez
• Sara Gomez
• Alona Gonzales
• Good Measure Physical Therapy P.C.
• Shantel Lynette Gordon
• Anjali Goswami, MD
• Gould Consulting and Staffing Agency LLC
• Yesica Govin

• Behavior Analyst in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.

Verify at the official NPI Registry.