Benjamin Gonzalez, MED, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-33608 Issued in CA

Practice address

16500 Ventura Blvd
Encino, CA 91436-2011

Phone

(818) 788-1003

Fax

(818) 788-1135

NPI assigned

Feb 29, 2012

Sex

Male

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

Credentials

Master of Education

Practice roles

Locations

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.

• Speech and Language Pathology Associates Inc.

  • Speech-Language Pathologist
  • Encino, CA
  • NPI 1124271614

  Behavior Analyst

  NPD
• Learning and Behavioral Center

  • Assistant Behavior Analyst
  • Tarzana, CA
  • NPI 1922769314
  NPD (past)
• Learning and Behavioral Center. LLC

  • Behavior Analyst
  • Tarzana, CA
  • NPI 1710116223
  NPD (past)

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1528332178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16500 VENTURA BLVD STE 360",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362016",
            "telephone_number": "818-788-1003",
            "fax_number": "818-788-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16500 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362011",
            "telephone_number": "818-788-1003",
            "fax_number": "818-788-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "BENJAMIN",
        "credential": "MED, BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-29",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-18-33608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flordeliz Grace Gonzales, O.D
• Nichole Gonzales
• Spencer Gonzales
• Erik Devin Gonzalez-Gaona
• Abigail Gonzalez
• Berenice Gonzalez
• Esmeralda Gonzalez
• Iris Anel Gonzalez
• Kathy Gonzalez, MS
• Leonel Gonzalez, AMFT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.