ELIZABETH RENEE GONZALES (NPI# 1619522190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619522190 |
| Entity Type | Individual |
| Full Name | ELIZABETH RENEE GONZALES |
| Practice Address |
5501 Antique Rose Way Riverbank CA 95367-9505 |
| Mailing Address |
3425 Coffee Rd Ste C2 Modesto CA 95355-1582 |
| Practice Telephone | 2095214791 |
| 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 | 106S00000X | Behavior Technician | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043234453 | Elizabeth Gonzales | Specialist | 417 Storrs Rd, Mansfield Center, CT 06250-1200 | 2006-07-27 |
| 1285199380 | Elizabeth Gonzales | Counselor | 2102 Pecos St Ste 10, San Angelo, TX 76901-3061 | 2019-02-04 |
| 1063903979 | Elizabeth Gonzales | Behavior Technician | 2565 Alluvial Ave Ste 152, Clovis, CA 93611-9514 | 2018-05-25 |
| 1023550266 | Elizabeth Gonzales | Licensed Practical Nurse | 15802 N Parkview Pl, Surprise, AZ 85374-7466 | 2016-11-04 |
| 1558816108 | Elizabeth Gonzales | Counselor | 160 E Virginia St Ste 100, San Jose, CA 95112-5865 | 2016-08-23 |
| 1881068096 | Elizabeth Gonzales | Marriage & Family Therapist | 17701 San Pasqual Valley Rd, Escondido, CA 92025-5301 | 2015-11-25 |
| 1619372315 | Elizabeth Gonzales | Case Manager/Care Coordinator | 43520 Division St, Lancaster, CA 93535-4089 | 2014-10-24 |
| 1750639647 | Elizabeth Gonzales | Licensed Practical Nurse | 985 Taylor St Sw, Conyers, GA 30012-5357 | 2012-08-27 |
| 1598059123 | Elizabeth Neal Gonzales | Dietitian, Registered | 2 Bon Air Rd, Suite 100, Larkspur, CA 94939-1141 | 2011-05-31 |
| 1013245158 | Elizabeth Gonzales | Case Manager/Care Coordinator | 24077 State Highway 49, Nevada City, CA 95959-8519 | 2009-12-01 |
| Street Address |
5501 ANTIQUE ROSE WAY |
| City | RIVERBANK |
| State | CA |
| Zip Code | 95367-9505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700183803 | Central Valley Autism Project, Inc. | Community/Behavioral Health | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2011-02-25 |
| 1922609981 | Abel Lee Aguilera | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-11-05 |
| 1376143008 | Hannah Michele Hammond | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-10-30 |
| 1326648569 | Drew F Farris | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-10-27 |
| 1851991129 | Olga Khatsayuk | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-10-27 |
| 1215537733 | Marissa K Seaman | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-10-26 |
| 1316546948 | Sheila Patterson | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-10-24 |
| 1891394649 | Agustin Max Velasquez | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-10-22 |
| 1093314155 | Jacqueline Cardenas | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-10-20 |
| 1023616588 | Katierose Helems | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-10-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598235111 | Adam Lagos | Behavior Technician | 5501 Antique Roseway, Riverbank, CA 95367 | 2018-11-27 |
| 1831407410 | Workplace Wellness Center | Community/Behavioral Health | 2861 Turpin Ave, Riverbank, CA 95367 | 2010-09-17 |
| 1083843940 | Lorraine Marie Romero | Nurse Practitioner | 4150 Patterson Rd, Riverbank, CA 95367 | 2009-07-13 |
| 1043372618 | Riverbank Primary Care Medical Clinic Inc. | Clinic/Center | 3227 Stanislaus St., Ste 'a', Riverbank, CA 95367 | 2006-12-13 |
| 1366518169 | Reni Varghese | Pharmacist | 1777 W. Yosemite Avenue, Manteca, CA 95367 | 2006-11-27 |
| 1760566434 | Brian Edward Elliott | Optometrist | 6331 Jackson Ave, Riverbank, CA 95367 | 2006-10-25 |
| 1861587727 | Steve Byron Benak Jr. | Radiology | 7024 N. Park Ridge Court, Riverbank, CA 95367 | 2006-10-04 |
| 1508879396 | George E Schauf | Family Medicine | 3443 Atchison St, Riverbank, CA 95367 | 2006-08-14 |
| 1356360184 | Lawrence D. Podolsky | Obstetrics & Gynecology | 2603 Patterson Road, Suite 2, Riverbank, CA 95367 | 2006-07-19 |
| 1295704484 | Karen A. Schaaf | Registered Nurse | 1425 West H. Street #380, Oakdale, CA 95367 | 2006-03-17 |
| Find all providers in zip 95367 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598235111 | Adam Lagos | Behavior Technician | 5501 Antique Roseway, Riverbank, CA 95367 | 2018-11-27 |
| 1922609981 | Abel Lee Aguilera | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-11-05 |
| 1376143008 | Hannah Michele Hammond | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-10-30 |
| 1326648569 | Drew F Farris | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-10-27 |
| 1851991129 | Olga Khatsayuk | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-10-27 |
| 1215537733 | Marissa K Seaman | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-10-26 |
| 1316546948 | Sheila Patterson | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-10-24 |
| 1891394649 | Agustin Max Velasquez | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-10-22 |
| 1093314155 | Jacqueline Cardenas | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-10-20 |
| 1023616588 | Katierose Helems | Behavior Technician | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2020-10-15 |
| Find all providers in RIVERBANK | ||||
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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.