Alicia Josephine Gonzales

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1184 Issued in NC

Practice address

6740 Rock Spring Rd Ste 300
Wilmington, NC 28405-3186

Phone

(910) 392-0080

NPI assigned

Jan 13, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1457940561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6740 ROCK SPRING RD STE 300",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6740 ROCK SPRING RD STE 300",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053186",
            "telephone_number": "910-392-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "ALICIA",
        "middle_name": "JOSEPHINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael S Goldwasser, DDS, MD
• Elizabeth Goll, ANP-C
• Mary Golob, PT DPT
• Taylor Gomes, DC
• Gertrude K Gomez, MSW, P-LCSW
• Armando P Gonzalez, PAC
• Eugenio De Jesus Gonzalez, PAC
• Julia Gonzalez
• Kemberly Lynn Gonzalez, CCC-SLP
• Good Shepherds Care Inc.

• Behavior Analyst in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.

Verify at the official NPI Registry.