Individual provider Active NPI

Aiden Isaac Gonzalez

  • Behavior Technician
  • El Paso, TX
National Provider Identifier
1992481121
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-280185 Issued in TX
Practice address
2114 N Zaragoza Rd Ste C1
El Paso, TX 79938-8129
Phone
(915) 271-8030
NPI assigned
Jun 22, 2023
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-23-280185 TX Primary

Addresses

Primary practice location

2114 N Zaragoza Rd Ste C1
El Paso, TX 79938-8129

Mailing address

7600 Benson Dr
El Paso, TX 79915-1528
Phone (915) 783-7137

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

State licenses

LicenseStateTypeSpecialty
RBT-23-280185TXMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Early Bird Pediatric Therapy Clinic, Inc CurrentSince Jun 25, 2023 Accepting new patients
Early Bird Pediatric Therapy Clinic, Inc CurrentSince Jun 25, 2023 Accepting new patients

Locations

2114 N Zaragoza Rd
Ste C1
El Paso, TX 79938
Phone (915) 271-8030

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1992481121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 BENSON DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799151528",
            "telephone_number": "915-783-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 N ZARAGOZA RD STE C1",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799388129",
            "telephone_number": "915-271-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "AIDEN",
        "middle_name": "ISAAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-23-280185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.