Karina Gonzalez

Individual provider Active NPI Behavior Technician · American Canyon, CA

NPI 1609447150 · NPPES record last updated Jul 6, 2021

Key facts

NPI
1609447150
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
120 Theresa Ave
American Canyon, CA 94503-9654
Phone
(170) 756-1013
NPI assigned
Jul 6, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
McGrew Behavioral Health Services, Inc. Past
since Jul 17, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

120 Theresa Ave
American Canyon, CA 94503-9654

Mailing address

120 Theresa Ave
American Canyon, CA 94503-9654
Phone (170) 756-1013

Other providers in American Canyon, CA

All providers in American Canyon, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.