VINCENT LARRY GONZALES (NPI# 1700410552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700410552 |
| Entity Type | Individual |
| Full Name | VINCENT LARRY GONZALES |
| Practice Address |
2366 Maritime Dr Elk Grove CA 95758-3639 |
| Mailing Address |
21600 Oxnard St Woodland Hills CA 91367-4976 |
| Practice Telephone | 9163654500 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649837543 | Vincent Joseph Gonzales | Counselor | 296 N Hope Ave Spc 66, Santa Barbara, CA 93110-2523 | 2019-05-26 |
| 1972159325 | Vincent Tong Gonzales | Counselor | 6171 W Charleston Blvd Bldg 14, Las Vegas, NV 89146-1126 | 2019-08-12 |
| 1083984793 | Vincent Gonzales | Specialist/Technologist, Other | 1 Sugar Creek Center Blvd Ste 618, Sugar Land, TX 77478 | 2012-01-11 |
| 1164655643 | Vincent Paul Gonzales | Military Health Care Provider | Psc 475 Box 1, Usnh Yokosuka - Family Practice Clinic, Fpo, AP 96350 | 2009-08-31 |
| Street Address |
2366 MARITIME DR |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95758-3639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871945576 | Amy Marie Hodges | Behavioral Analyst | 2366 Maritime Dr, Elk Grove, CA 95758-3639 | 2016-07-06 |
| 1932709086 | Katelyn Joann Garay | Behavioral Analyst | 2366 Maritime Dr, Elk Grove, CA 95758-3639 | 2020-10-28 |
| 1679186738 | Ashley Elisabeth Kimiko Asoo | Behavior Technician | 2366 Maritime Dr, Elk Grove, CA 95758-3639 | 2020-08-28 |
| 1104434505 | Dominique Angel Lai | Behavior Technician | 2366 Maritime Dr, Elk Grove, CA 95758-3639 | 2020-07-21 |
| 1376178921 | Jevin Justin Mattathil | Behavior Technician | 2366 Maritime Dr, Elk Grove, CA 95758-3639 | 2020-03-04 |
| 1477187656 | Alyssa L Mojica | Behavioral Analyst | 2366 Maritime Dr, Elk Grove, CA 95758-3639 | 2020-02-26 |
| 1326671298 | Blanche Scroggins | Behavior Technician | 2366 Maritime Dr, Elk Grove, CA 95758-3639 | 2020-02-19 |
| 1306479290 | Ruben Toscano Jr | Behavioral Analyst | 2366 Maritime Dr, Elk Grove, CA 95758-3639 | 2020-02-19 |
| 1275165672 | Ahmer Hussain | Behavior Technician | 2366 Maritime Dr, Elk Grove, CA 95758-3639 | 2020-02-04 |
| 1578193959 | Naqshe Zeb Tahirhkheli | Behavior Technician | 2366 Maritime Dr, Elk Grove, CA 95758-3639 | 2020-01-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244208 | Obia Njoku | Nurse Practitioner | 9105 Bruceville Rd Ste 1a #580405, Elk Grove, CA 95758 | 2020-01-14 |
| 1992362362 | Kimberly Abrahamson | Student in an Organized Health Care Education/Training Program | 9412 Big Horn Dr #6, Elk Grove, CA 95758 | 2019-05-21 |
| 1447737333 | Elk Grove Rehab & Counseling Center | Counselor | 7807 Laguna Blvd., Suite 480, Elk Grove, CA 95758 | 2018-07-24 |
| 1114424579 | Arielle Mize | Dietitian, Registered | 8161 Sheldon Road, #103, Elk Grove, CA 95758 | 2018-04-11 |
| 1154822609 | Eston Garcia | Behavior Technician | 2366 Martime Drive, Elk Grove, CA 95758 | 2018-02-21 |
| 1912406364 | Nicole Torneros | Behavior Technician | 2336 Maritime Drive, Elk Grove, CA 95758 | 2018-02-12 |
| 1134628712 | Northern California Vasectomy | Family Medicine | 9045 Bruceville Rd Ste 100b, Elk Grove, CA 95758 | 2018-02-08 |
| 1083134399 | Uchechi Mbonu | Assisted Living Facility | 7019 Mcgill Court, Elk Grove, CA 95758 | 2017-06-27 |
| 1922557362 | Muhanad Aliakbar | Driver | 8275 Oakbriar Cir, Elk Grove, CA 95758 | 2016-09-27 |
| 1063868123 | Teresa Vinciguerra | Marriage & Family Therapist | 9412 Elk Horn Blvd, Suite 6, Elk Grove, CA 95758 | 2016-05-09 |
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| 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 |
|---|---|---|---|---|
| 1952956237 | Pravesh Praneet Lal | Behavioral Analyst | 8320 Dandelion Dr, Elk Grove, CA 95624-4557 | 2019-08-05 |
| 1144787524 | Leah Marie Gulliksen | Behavioral Analyst | 9504 Elk Grove Florin Rd Apt 1, Elk Grove, CA 95624-1841 | 2019-02-21 |
| 1376009100 | Ezra Jon Perez-lopez | Behavioral Analyst | 9701 Dino Dr Ste 170, Elk Grove, CA 95624-4042 | 2019-02-18 |
| 1033684865 | Lua Davidson | Behavioral Analyst | 5504 Aspen Grove Ln, Elk Grove, CA 95757 | 2018-10-08 |
| 1760984413 | Tyler S. Mitchell | Behavioral Analyst | 4312 Slough Ct, Elk Grove, CA 95757-4625 | 2018-03-07 |
| 1750882395 | Taylor Kaiser | Behavioral Analyst | 9351 Feickert Dr, Elk Grove, CA 95624-2800 | 2018-02-27 |
| 1992226526 | Eryn Bond | Behavioral Analyst | 7801 Laguna Blvd Ste 100, Elk Grove, CA 95758-7954 | 2017-07-05 |
| 1982137568 | Jamie Kofoed | Behavioral Analyst | 9355 E Stockton Blvd Ste 100, Elk Grove, CA 95624 | 2017-04-10 |
| 1073067773 | Jennifer Strickland | Behavioral Analyst | 5238 Spring Creek Way, Elk Grove, CA 95758-4720 | 2016-08-10 |
| 1871945576 | Amy Marie Hodges | Behavioral Analyst | 2366 Maritime Dr, Elk Grove, CA 95758-3639 | 2016-07-06 |
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| 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.