Emily Gershon, BA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-9457 Issued in CA

Practice address

1710 S Amphlett Blvd
Suite 314
San Mateo, CA 94402-2703

Phone

(650) 242-0179

Fax

(650) 242-8202

NPI assigned

Jan 21, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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.

• Pacific Autism Learning Services, Inc

  • Community/Behavioral Health Agency
  • San Mateo, CA
  • NPI 1336435734
  NPD (past)

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1922497403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 BLUE OAKS BLVD",
            "address_2": "SUITE #180",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956787031",
            "telephone_number": "650-242-0179",
            "fax_number": "916-771-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 S AMPHLETT BLVD",
            "address_2": "SUITE 314",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022703",
            "telephone_number": "650-242-0179",
            "fax_number": "650-242-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSHON",
        "first_name": "EMILY",
        "credential": "BA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-14-9457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genevieve Dee DDS
• Marie George
• Mary Ann Gerlach, NP
• Great Shelin Dela Cruz Geronimo
• Maria Theresa Geronimo, PT
• Bryan D Gescuk, M.D.
• Lawrence Howard Gettler, MD
• Alireza Ghamgosar, D.P.M.
• Nuha Mahmoud Ghanem, B.A
• Ruqayah Abdulhadi Ghaus

• Behavior Analyst in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.