Individual provider Active NPI

Marilyn Gonzalez Esparza, MA, BCBA

  • Behavior Analyst
  • Phoenix, AZ
National Provider Identifier
1396281358
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BEH-001000 Issued in AZ
Practice address
4801 E McDowell Rd Ste 175
Phoenix, AZ 85008-7725
Phone
(480) 478-0444
Fax
(602) 854-7422
NPI assigned
Jan 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-46501 CA
Behavior Analyst 103K00000X BEH-001000 AZ Primary

Addresses

Primary practice location

4801 E McDowell Rd Ste 175
Phoenix, AZ 85008-7725

Mailing address

4801 E McDowell Rd Ste 175
Phoenix, AZ 85008-7725
Phone (480) 478-0444

Other practice location 1

13934 N 59th Ave Ste 160
Glendale, AZ 85306-4168
Phone (489) 478-0444

Other practice location 2

4560 N 19th Ave
Phoenix, AZ 85015-4133
Phone (480) 478-0444

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
BEH-001000AZMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Autism Center, LLC Behavior Analyst CurrentSince Nov 10, 2024 Accepting new patients
Comprehensive Autism Center, PC Behavior Analyst Past Accepting new patients

Locations

13934 N 59th Ave
Ste 160
Glendale, AZ 85306
Phone (480) 478-0444

4801 E McDowell Rd
Ste 175
Phoenix, AZ 85008
Phone (480) 478-0444

4560 N 19th Ave
Phoenix, AZ 85015
Phone (480) 478-0444

Organizations & group practices 2

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": "1484524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1396281358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 E MCDOWELL RD STE 175",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850087725",
            "telephone_number": "480-478-0444",
            "fax_number": "602-854-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 E MCDOWELL RD STE 175",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850087725",
            "telephone_number": "480-478-0444",
            "fax_number": "602-854-7422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13934 N 59th Ave Ste 160",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853064168",
            "country_code": "US",
            "telephone_number": "489-478-0444",
            "fax_number": "602-854-7422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4560 N 19th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850154133",
            "country_code": "US",
            "telephone_number": "480-478-0444",
            "fax_number": "602-854-7422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ ESPARZA",
        "first_name": "MARILYN",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-16",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-20-46501",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BEH-001000",
            "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 Nov 5, 2024; 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.