Active NPI
Marcos Antonio Gonzalez II
- Behavior Technician
- Philadelphia, PA
National Provider Identifier
1336028570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 30910842
- Practice address
- 4218 Frost St
Philadelphia, PA 19136-3126 - Phone
- (215) 678-1322
- NPI assigned
- Sep 1, 2025
- 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 | 30910842 | PA | Primary |
Addresses
Primary practice location
4218 Frost St
Philadelphia, PA 19136-3126
Mailing address
4218 Frost St
Philadelphia, PA 19136-3126
Phone (215) 678-1322
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30910842 | PA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756684800000",
"number": "1336028570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4218 FROST ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191363126",
"telephone_number": "215-678-1322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4218 FROST ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191363126",
"telephone_number": "215-678-1322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "MARCOS",
"middle_name": "ANTONIO",
"name_prefix": "Mr.",
"name_suffix": "II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-01",
"last_updated": "2025-09-01",
"certification_date": "2025-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "PA",
"license": "30910842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.