MS. AMANDA GONZALEZ (NPI# 1225683790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225683790 |
| Entity Type | Individual |
| Full Name | MS. AMANDA GONZALEZ |
| Credential | M.S. |
| Practice Address |
1496 W Mequon Rd Mequon WI 53092-3268 |
| Mailing Address |
N49w6757 Western Rd Apt B Cedarburg WI 53012-1863 |
| Practice Telephone | 2623659063 |
| Mailing Telephone | 2628944677 |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 307-140 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BEHAVIOR ANALYST CERTIFICATION BOARD | 1-19-36448 | 01 | |
| WI | DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES | 307-140 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720649536 | Amanda Alyssa Gonzalez | Nurse Practitioner | 3025 Masterson Dr, Corpus Christi, TX 78415-2410 | 2019-06-23 |
| 1902358112 | Amanda Marie Gonzalez | Non-emergency Medical Transport (VAN) | 3912 W 97th Pl, Westminster, CO 80031-2630 | 2016-11-04 |
| 1497101679 | Amanda Christina Gonzalez | Nurse Practitioner | 18626 Hardy Oak Blvd Ste 103, San Antonio, TX 78258-4219 | 2016-05-06 |
| 1760746671 | Amanda Michelle Gonzalez | Speech-Language Pathologist | 14121 Sw 17th St, Davie, FL 33325-5933 | 2012-06-26 |
| 1942515317 | Amanda Jae Gonzalez | Social Worker | 6770 S 900 E, Suite 105, Midvale, UT 84047-1709 | 2010-08-10 |
| 1578566063 | Amanda W Gonzalez | Nurse Practitioner | 191 East Price Road, Brownsville, TX 78523-9988 | 2005-05-27 |
| 1558996231 | Amanda Gonzalez | Licensed Vocational Nurse | 1155 Dairy Ashford Rd Ste 560, Houston, TX 77079-3035 | 2020-03-03 |
| 1699321224 | Amanda Gonzalez | Nurse Practitioner | 3603 Paesanos Pkwy Ste 300, San Antonio, TX 78231-1270 | 2019-08-09 |
| 1831657600 | Amanda Elizabeth Gonzalez | Licensed Vocational Nurse | 615 W Civic Center Dr, Santa Ana, CA 92701 | 2019-03-11 |
| 1871058248 | Amanda Gonzalez | Behavior Technician | 1100 S Main St # 8, Las Cruces, NM 88005-2917 | 2019-02-09 |
| Street Address |
1496 W MEQUON RD |
| City | MEQUON |
| State | WI |
| Zip Code | 53092-3268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285170647 | Kayla Irene Terriquez | Behavioral Analyst | 1496 W Mequon Rd, Mequon, WI 53092-3268 | 2017-01-10 |
| 1316593999 | Amoa T Childs | Behavioral Analyst | 1496 W Mequon Rd, Mequon, WI 53092-3268 | 2019-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942790761 | Kathryn Mueller | Specialist/Technologist | 117 Linden Lane, Apt 7, Thiensville, WI 53092 | 2018-05-17 |
| 1427547082 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 10996 N Port Washington Rd, Mequon, WI 53092 | 2018-05-08 |
| 1912437252 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | 11430 Port Washington Road, Mequon, WI 53092 | 2017-06-19 |
| 1629437256 | Sean S Tsang | Acupuncturist | 909 W. Mequon Rd., Mequon, WI 53092 | 2016-02-10 |
| 1497128433 | Nancy Snoots | Counselor | 4430 W Tarrytown Ln, Mequon, WI 53092 | 2015-11-12 |
| 1609265214 | Evan Guettel | Physical Therapist | 11363 N. Port Washington Road, Mequon, WI 53092 | 2015-01-20 |
| 1881091148 | Sarah Krueger | Counselor | 216 N Green Bay Rd Suite 108, Thiensville, WI 53092 | 2014-12-01 |
| 1245667088 | Lora Transportation, LLC | Non-emergency Medical Transport (VAN) | 1228 West Baldwin Crt., Mequon, WI 53092 | 2013-10-10 |
| 1710314000 | Roxxi M Davis | Social Worker | 7113 Tamarack Ct, Mequon, WI 53092 | 2013-10-01 |
| 1225473713 | Forefront Dermatology, S.c. | Dermatology | 10303 N Port Washington Rd Ste 101, Mequon, WI 53092 | 2013-05-09 |
| Find all providers in zip 53092 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285170647 | Kayla Irene Terriquez | Behavioral Analyst | 1496 W Mequon Rd, Mequon, WI 53092-3268 | 2017-01-10 |
| 1942666045 | Olivia L Smith | Behavioral Analyst | 12075 Corporate Pkwy Ste 110, Mequon, WI 53092-2664 | 2016-01-06 |
| 1861872814 | Samantha Bergmann | Behavioral Analyst | 8239 W Hillview Dr, Mequon, WI 53097-3205 | 2015-06-04 |
| 1528208618 | Jeffrey H Tiger | Behavioral Analyst | 3616 W Brittany Ct, Mequon, WI 53092-5210 | 2009-03-02 |
| 1194369751 | Marisa Elaine Mckee | Behavioral Analyst | 8239 W Hillview Dr, Mequon, WI 53097-3205 | 2019-11-06 |
| 1316593999 | Amoa T Childs | Behavioral Analyst | 1496 W Mequon Rd, Mequon, WI 53092-3268 | 2019-08-10 |
| 1174090484 | Roger Kyle Caldwell | Behavioral Analyst | 3616 W Brittany Ct, Mequon, WI 53092-5210 | 2018-10-25 |
| 1306208251 | Brittany Ann Leblanc | Behavioral Analyst | 8239 W Hillview Dr, Mequon, WI 53097-3205 | 2016-03-21 |
| 1013381953 | Melissa Krabbe | Behavioral Analyst | 3616 W Brittany Ct, Mequon, WI 53092-5210 | 2015-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104424332 | David Alberts | Behavioral Analyst | 502 Atlas Ave, Madison, WI 53714-3108 | 2020-10-09 |
| 1518574516 | Chelsey Logan | Behavioral Analyst | 519 Midland Ct Ste 2and5, Janesville, WI 53546-2348 | 2020-09-24 |
| 1982218327 | Brooke Boss | Behavioral Analyst | N4103 Dam Rd, Delavan, WI 53115-2979 | 2020-09-02 |
| 1972115426 | Amber L Allen | Behavioral Analyst | 10930 W Potter Rd Ste A, Wauwatosa, WI 53226-3450 | 2020-08-17 |
| 1033728753 | Kristin Nichol Floss | Behavioral Analyst | N4175 County Road K, Shawano, WI 54166-7036 | 2020-07-28 |
| 1316556111 | Melissa Ann Bowman | Behavioral Analyst | 3333 N Mayfair Rd Ste 110, Wauwatosa, WI 53222-3219 | 2020-07-28 |
| 1194343707 | Bridges Consultation and Treatment | Behavioral Analyst | W4874 Edelweiss Road, New Glarus, WI 53574 | 2020-07-09 |
| 1811512296 | Amy Cliff Graham | Behavioral Analyst | 410 N Shore Dr, Scandinavia, WI 54977-9215 | 2020-06-11 |
| 1174147078 | Emma Castrogiovanni | Behavioral Analyst | 575 Donofrio Dr Ste 200, Madison, WI 53719-2832 | 2020-06-05 |
| 1407470685 | Emily Wendt | Behavioral Analyst | 4500 Industrial Park Rd, Stevens Point, WI 54481-5014 | 2020-06-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. AMANDA GONZALEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.