Evelyn Bourgoin

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

W9313241 Issued in CA

Practice address

7225 N 1St St
Fresno, CA 93720-2986

Phone

(866) 360-4623

Fax

(866) 360-4623

NPI assigned

Jul 11, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783728000000",
    "number": "1346169745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 SWAN AVE",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936573732",
            "telephone_number": "559-955-1447",
            "fax_number": "559-955-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202986",
            "telephone_number": "866-360-4623",
            "fax_number": "866-360-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURGOIN",
        "first_name": "EVELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-11",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "W9313241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fady Boules
• Christina Bounyavong
• Yvette Bouphavong
• Dion S Bourdase
• Emily Bourdon
• Kelli Anne Bouscher, LMFT
• Brandon Boutvyseth
• Marij Bouwmans, MFT
• Noah Bowden
• Jason Blake Bowen, D.C.

• Behavior Technician in Fresno, CA
• Providers in Fresno, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.

Verify at the official NPI Registry.