Active NPI
Carly Gonzalez, BCBA
- Behavior Analyst
- Albuquerque, NM
National Provider Identifier
1881939403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-14-9486
- Practice address
- 141 Osuna Rd NW
Albuquerque, NM 87107-6041 - Phone
- (505) 225-5323
- NPI assigned
- Dec 7, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 1-14-9486 | Primary |
Addresses
Primary practice location
141 Osuna Rd NW
Albuquerque, NM 87107-6041
Mailing address
9123 Palomas Ave NE
Albuquerque, NM 87109-6632
Phone (915) 999-1142
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633478400000",
"number": "1881939403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9123 PALOMAS AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871096632",
"telephone_number": "915-999-1142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 OSUNA RD NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871076041",
"telephone_number": "505-225-5323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "CARLY",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-07",
"last_updated": "2021-10-06",
"certification_date": "2020-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-14-9486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.