Active NPI
Jonathan Gonzalez, M.A.
- Behavior Analyst
- Riverside, CA
National Provider Identifier
1841736121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 106SOOOOOX
- Practice address
- 4505 Allstate Dr. Duite #9
Riverside, CA 92501 - Phone
- (626) 339-4999
- NPI assigned
- Jan 11, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | 106SOOOOOX | CA | Primary |
Addresses
Primary practice location
4505 Allstate Dr. Duite #9
Riverside, CA 92501
Mailing address
312 Doyle Ave
Redlands, CA 92374-2335
Phone (951) 595-2675
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106SOOOOOX | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484092800000",
"number": "1841736121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 DOYLE AVE",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923742335",
"telephone_number": "951-595-2675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4505 ALLSTATE DR. DUITE #9",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "92501",
"telephone_number": "626-339-4999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JONATHAN",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-01-11",
"last_updated": "2017-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "106SOOOOOX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.