Dominic Gonzalez-Ramos

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-33105 Issued in CA

Practice address

2100 Standiford Ave Ste 12-180
Modesto, CA 95350-6522

Phone

(855) 832-6727

Fax

(772) 675-9100

NPI assigned

Feb 26, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1891296752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 STANDIFORD AVE STE 12-180",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953506522",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-RAMOS",
        "first_name": "DOMINIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-26",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-18-33105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariana Yamilett Gonzalez Velazquez
• Michelle Gonzalez Zomer
• Arlene Gonzalez-Carlos, HS DIPLOMA
• Mariajose Gonzalez-Correa, HS DIPLOMA
• Genesis Gonzalez-Gallardo
• Tracy Michelle Gonzalez-Rogers
• Monique Gonzalez-Tatman
• Alberto Gonzalez
• Alejandra Gonzalez
• Aliyah Gonzalez

• Behavior Analyst in Modesto, CA
• Providers in Modesto, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.