Iliana Angelica Gonzalez Medina, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

12261129 Issued in CA

Practice address

1295 Corona Pointe CT Ste 102
Corona, CA 92879-1721

Phone

(855) 223-7123

NPI assigned

May 6, 2019

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

State licenses

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1417512344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33568",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921633568",
            "telephone_number": "552-237-1238",
            "fax_number": "619-374-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 CORONA POINTE CT STE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791721",
            "telephone_number": "855-223-7123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1270 W James St",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "CA",
            "postal_code": "923161330",
            "country_code": "US",
            "telephone_number": "310-406-7878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ MEDINA",
        "first_name": "ILIANA",
        "middle_name": "ANGELICA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-06",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "12261129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlene Gonzales
• Sarina Alicia Gonzales, FNP, RN
• Skyla Gonzales
• Teresa Gonzales
• Maria Elizabeth Gonzalez Duenas
• Karla Judith Gonzalez-Macias
• Nancy V Gonzalez-Villatoro
• Adanesne Gonzalez
• Alexis Gonzalez
• Alia Gonzalez

• Behavior Analyst in Corona, CA
• Providers in Corona, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.