Active NPI
Rachel E Gentillon
- Behavior Analyst
- Concord, CA
National Provider Identifier
1609447523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- LBA.BA.70055504
- Practice address
- 1200 Concord Ave Ste 185
Concord, CA 94520-5006 - Phone
- (575) 489-6651
- NPI assigned
- Jul 2, 2021
- 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 Analyst | 103K00000X | LBA.BA.70055504 | WA | Primary |
Addresses
Primary practice location
1200 Concord Ave Ste 185
Concord, CA 94520-5006
Mailing address
475 W 260 N
Orem, UT 84057-1970
Phone (801) 221-9930
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396085718 | Medicaid | UT |
Other names 1
- Rachel E Wilzbach
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 |
|---|---|---|---|
| LBA.BA.70055504 | WA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evergreen Pathways LLC | Behavior Analyst | Past | Accepting new patients |
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.
-
- Behavior Analyst
- Kent, WA
- NPI 1083586937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1609447523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 W 260 N",
"city": "OREM",
"state": "UT",
"postal_code": "840571970",
"telephone_number": "801-221-9930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 CONCORD AVE STE 185",
"city": "CONCORD",
"state": "CA",
"postal_code": "945205006",
"telephone_number": "575-489-6651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTILLON",
"first_name": "RACHEL",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-02",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WA",
"license": "LBA.BA.70055504",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1396085718",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "WILZBACH",
"middle_name": "E",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.