Active NPI
Erick Sanchez Gonzalez
- Behavior Technician
- Glen Burnie, MD
National Provider Identifier
1285217141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 510 McCormick Dr
Glen Burnie, MD 21061-3283 - Phone
- (410) 487-6011
- NPI assigned
- Apr 29, 2021
- Sex
- Male
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
510 McCormick Dr
Glen Burnie, MD 21061-3283
Mailing address
510 McCormick Dr Ste U
Glen Burnie, MD 21061-8283
Phone (410) 487-6011
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 |
|---|---|---|---|
| Rise for Autism, Inc. | Behavior Technician | Current | Accepting new patients |
Locations
510 McCormick Dr
Ste U
Glen Burnie, MD 21061
Phone (410) 487-6011
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1285217141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 MCCORMICK DR STE U",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210618283",
"telephone_number": "410-487-6011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 MCCORMICK DR",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210613283",
"telephone_number": "410-487-6011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ GONZALEZ",
"first_name": "ERICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-29",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.