Active NPI
Samantha Gonzales
- Behavior Technician
- Waxahachie, TX
National Provider Identifier
1528523297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 151 Northtown Xing Ste 101
Waxahachie, TX 75165-6209 - Phone
- (972) 795-0576
- NPI assigned
- Feb 6, 2019
- Last updated
- Feb 6, 2019
- 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 | Primary |
Addresses
Primary practice location
151 Northtown Xing Ste 101
Waxahachie, TX 75165-6209
Mailing address
250 E Highway 67 Apt 2204
Duncanville, TX 75137-4434
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549411200000",
"number": "1528523297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 E HIGHWAY 67 APT 2204",
"city": "DUNCANVILLE",
"state": "TX",
"postal_code": "751374434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 NORTHTOWN XING STE 101",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751656209",
"telephone_number": "972-795-0576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALES",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-06",
"last_updated": "2019-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waxahachie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.