Individual provider Active NPI

Grissel Alfonso Gonzalez

  • Behavior Analyst
  • Cape Coral, FL
National Provider Identifier
1295201846
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1219 SE 34TH St
Cape Coral, FL 33904-4291
Phone
(239) 703-3502
Fax
(844) 640-0724
NPI assigned
Oct 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2021

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 FL
Behavior Analyst 103K00000X FL Primary

Addresses

Primary practice location

1219 SE 34TH St
Cape Coral, FL 33904-4291

Mailing address

1219 SE 34TH St
Cape Coral, FL 33904-4291
Phone (239) 703-3502

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

OrganizationSpecialtyStatusNew patients
Athena Behavior Consult Behavior Analyst CurrentSince May 25, 2021 Accepting new patients
Lauren a. Lovell Inc Behavior Analyst PastSince Jul 25, 2019 Accepting new patients
Family Initiative Incorporated Behavior Analyst PastSince Mar 1, 2021 Accepting new patients

Organizations & group practices 3

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": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1295201846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 SE 34TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339044291",
            "telephone_number": "239-703-3502",
            "fax_number": "844-640-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 SE 34TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339044291",
            "telephone_number": "239-703-3502",
            "fax_number": "844-640-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFONSO GONZALEZ",
        "first_name": "GRISSEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.