Lizbeth Montiel-Gonzalez
Individual provider Active NPI Behavior Analyst · Clovis, CA
NPI 1891398293 · NPPES record last updated Nov 18, 2020
Key facts
- NPI
- 1891398293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 75 Park Creek Dr Ste 104
Clovis, CA 93611-4432 - Phone
- (559) 460-9090
- NPI assigned
- Nov 18, 2020
- Sex
- Female
- Sole proprietor
- No
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | CA | Yes |
Addresses
Primary practice location
75 Park Creek Dr Ste 104
Clovis, CA 93611-4432
Mailing address
75 Park Creek Dr Ste 104
Clovis, CA 93611-4432
Phone (559) 460-9090
Other practice location 1
75 Park Creek Dr Ste 104
Clovis, CA 93611-4432
Phone (559) 460-9090
Other providers in Clovis, CA
- Sandra Marie Montalvo
- Anthony W Montana
- Samuel A Montano
- Stacey Melissa Montes
- Suzanne Montgomery
- Ana Gabriela Monzon
- Ashley Moon
- Wendi L Mooney
- Mooneyham Physical Therapy, Inc
- Richard Scott Mooneyham
All providers in Clovis, CA · Behavior Analyst in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2020. 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.