Active NPI
Janis Renee Macasinag Gonzales
- Behavior Technician
- Everett, WA
National Provider Identifier
1477300952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- CB61271667
- Practice address
- 900 Pacific Ave
Everett, WA 98201-4168 - Phone
- (425) 258-7097
- NPI assigned
- May 2, 2024
- Sex
- Female
- 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 | CB61271667 | WA | Primary |
Addresses
Primary practice location
900 Pacific Ave
Everett, WA 98201-4168
Mailing address
2550 N Hollywood Way Ste 301
Burbank, CA 91505-5025
Other practice location 1
18905 33rd Ave W Ste 113
Lynnwood, WA 98036-4716
Phone (866) 727-8274
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 |
|---|---|---|---|
| CB61271667 | WA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1477300952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 N HOLLYWOOD WAY STE 301",
"city": "BURBANK",
"state": "CA",
"postal_code": "915055025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 PACIFIC AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014168",
"telephone_number": "425-258-7097"
}
],
"practiceLocations": [
{
"address_1": "18905 33rd Ave W Ste 113",
"address_purpose": "LOCATION",
"city": "Lynnwood",
"state": "WA",
"postal_code": "980364716",
"country_code": "US",
"telephone_number": "866-727-8274",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALES",
"first_name": "JANIS RENEE",
"middle_name": "MACASINAG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-02",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": "CB61271667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.