Individual provider Active NPI

Donnalyn Gonzalez

  • Behavior Analyst
  • Petaluma, CA
National Provider Identifier
1841781408
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BACB360147 Issued in CA
Practice address
755 Baywood Drive
Floor 2
Petaluma, CA 94954-5510
Phone
(855) 832-6727
Fax
(772) 675-9100
NPI assigned
May 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BACB360147 CA Primary

Addresses

Primary practice location

755 Baywood Drive
Floor 2
Petaluma, CA 94954-5510

Mailing address

595 South Ave
Santa Rosa, CA 95407-7495
Phone (808) 783-8989

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

LicenseStateTypeSpecialty
BACB360147CAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Behavior Supports Corporation 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.

NPI Registry JSON

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

{
    "created_epoch": "1526688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1841781408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 SOUTH AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954077495",
            "telephone_number": "808-783-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 BAYWOOD DRIVE",
            "address_2": "FLOOR 2",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949545510",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "DONNALYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-19",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "BACB360147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.

Verify at the official NPI Registry.