Active NPI
Monica Gotreau, M,A., BCBA
- Behavior Analyst
- Kamuela, HI
National Provider Identifier
1265761712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-09-5674
- Practice address
- 59-229 Kanaloa Dr
Kamuela, HI 96743-8510 - Phone
- (714) 210-9411
- NPI assigned
- Dec 11, 2009
- Last updated
- Dec 11, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-09-5674 | Primary |
Addresses
Primary practice location
59-229 Kanaloa Dr
Kamuela, HI 96743-8510
Mailing address
PO Box 44626
Kamuela, HI 96743-4626
Phone (714) 210-9411
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
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Kapolei, HI
- NPI 1497095566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260489600000",
"number": "1265761712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 44626",
"city": "KAMUELA",
"state": "HI",
"postal_code": "967434626",
"telephone_number": "714-210-9411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59-229 KANALOA DR",
"city": "KAMUELA",
"state": "HI",
"postal_code": "967438510",
"telephone_number": "714-210-9411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTREAU",
"first_name": "MONICA",
"credential": "M,A., BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-11",
"last_updated": "2009-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-09-5674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kamuela, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.