Kristopher Gonzalez-Moffitt

Individual provider Active NPI Behavior Analyst · Lathrop, CA

NPI 1881539005 · NPPES record last updated Apr 22, 2026

Key facts

NPI
1881539005
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
13288 Emerald Bay CT
Lathrop, CA 95330-8932
Phone
(209) 699-2233
NPI assigned
Apr 22, 2026
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst
Group: 193400000X SINGLE SPECIALTY GROUP
103K00000X Yes

Addresses

Primary practice location

13288 Emerald Bay CT
Lathrop, CA 95330-8932

Mailing address

13288 Emerald Bay CT
Lathrop, CA 95330-8932

Other providers in Lathrop, CA

All providers in Lathrop, CA · Behavior Analyst in California

Sources for this page

Verify at the official NPI Registry.