Tatiana Michelle Gonzalez
Individual provider Active NPI Behavior Technician · Anchorage, AK
NPI 1861909418 · NPPES record last updated Jan 4, 2018
Key facts
- NPI
- 1861909418
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-17-45171 (AK)
- Practice address
- 2836 Kimberlie CT
Anchorage, AK 99508-5329 - Phone
- (907) 349-4222
- NPI assigned
- Jan 4, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-17-45171 | AK | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Early Learning for Everyone | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-17-45171 | AK | Yes |
Addresses
Primary practice location
2836 Kimberlie CT
Anchorage, AK 99508-5329
Mailing address
5340 E 26TH Ave
Anchorage, AK 99508-3851
Other providers in Anchorage, AK
- Jennifer Gonzalez
- Jesus Gonzalez
- Maidelin Gonzalez
- Marilyn N. Gonzalez
- Sarah Gonzalez
- Victoria Xochitl Gonzalez
- Xavier Gonzalez
- Good Faith Home Health Services
- Good Faith Home Health Services, LLC
- Good Grace Assisted Living Home,LLC
All providers in Anchorage, AK · Behavior Technician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.