Iris Angelina Miguel Gonzalez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1782 E Bullard Ave Ste 104
Fresno, CA 93710-5868

Phone

(559) 515-6485

NPI assigned

Feb 2, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Bicc Central California

  • Behavior Analyst
  • Fresno, CA
  • NPI 1619403235
  NPD (past)

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1881285757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1782 E BULLARD AVE STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105868",
            "telephone_number": "559-515-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1782 E BULLARD AVE STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105868",
            "telephone_number": "559-515-6485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGUEL GONZALEZ",
        "first_name": "IRIS",
        "middle_name": "ANGELINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BIcC.admin@bicccentralcal.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1782 E Bullard Ave Ste 104",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937105868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Peter Robert Middleton, DO
• Susan A Middleton, L.C.S.W.
• Breyona Jeanne Midgett
• Mighty Community Advocacy
• Kristen Migirian-Tellez
• Isamar Miguel Gonzalez
• Yaneli Miguel Munoz
• Samuel Miguel
• Marie Alina Mihara, MD
• Mihr Transport

• Behavior Technician in Fresno, CA
• Providers in Fresno, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.