Active NPI
Anisah Gonzales
- Behavior Analyst
- Phoenix, AZ
National Provider Identifier
1275174617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- LBA.BA.70034625
- Practice address
- 402 W Coolidge St
Phoenix, AZ 85013-2715 - Phone
- (520) 223-5943
- NPI assigned
- Oct 7, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | LBA.BA.70034625 | WA | Primary |
Addresses
Primary practice location
402 W Coolidge St
Phoenix, AZ 85013-2715
Mailing address
402 W Coolidge St
Phoenix, AZ 85013-2715
Phone (520) 223-5943
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": "1570406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1275174617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 W COOLIDGE ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850132715",
"telephone_number": "520-223-5943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 W COOLIDGE ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850132715",
"telephone_number": "520-223-5943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "ANISAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-07",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WA",
"license": "LBA.BA.70034625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.