Heather Lauren Gonzales, PH.D., BCBA-D, BHP

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BA-0283 Issued in AZ

Practice address

1830 S Alma School Rd Ste 130
Mesa, AZ 85210-3088

Phone

(480) 902-0771

Fax

(602) 795-1663

NPI assigned

Apr 2, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669738878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 N 52ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850083402",
            "telephone_number": "480-902-0771",
            "fax_number": "602-795-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 S ALMA SCHOOL RD STE 130",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103088",
            "telephone_number": "480-902-0771",
            "fax_number": "602-795-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "HEATHER",
        "middle_name": "LAUREN",
        "name_prefix": "Ms.",
        "credential": "PH.D., BCBA-D, BHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-12-10031",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BA-0283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Gongora
• Bradley Gonik, MD
• Desanne Gonsalves
• Caitlin Elizabeth Gonzales, PHARMD
• Debra Gonzales, RN
• Makenna Gonzales
• Maria Teresa Gonzales, AGNP-C
• Mariza Gonzales, M.A.
• Nicole Gonzalez Delgado, COTA/L
• Jasmyn Gonzalez Jauregui, RBT

• Behavior Analyst in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Behavior Analyst in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.