MARISSA GONZALES (NPI# 1740812056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740812056 |
| Entity Type | Individual |
| Full Name | MARISSA GONZALES |
| Credential | MA, BCBA, LBA |
| Practice Address |
5522 Lone Star Pkwy Ste 101 San Antonio TX 78253-6719 |
| Mailing Address |
14030 Fm 1560 N Apt 11204 Helotes TX 78023-4811 |
| Practice Telephone | 2106708028 |
| Mailing Telephone | 3616608022 |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407362668 | Marissa Nicole Gonzales | Developmental Therapist | 7634 W Balmoral Ave, Chicago, IL 60656-1724 | 2017-12-22 |
| Street Address |
5522 LONE STAR PKWY STE 101 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78253-6719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558771592 | Mark Boozer | Behavioral Analyst | 5522 Lone Star Pkwy Ste 101, San Antonio, TX 78253-6719 | 2014-04-29 |
| 1063012268 | Leanne Marie Schutz | Behavior Technician | 5522 Lone Star Pkwy Ste 101, San Antonio, TX 78253-6719 | 2020-10-27 |
| 1184236796 | Melanie Christine Dossey | Behavior Technician | 5522 Lone Star Pkwy Ste 101, San Antonio, TX 78253-6719 | 2020-08-17 |
| 1063033538 | Emilia Nichole Castro | Behavior Technician | 5522 Lone Star Pkwy Ste 101, San Antonio, TX 78253-6719 | 2020-05-06 |
| 1942848692 | Daniel Abraham Rios | Behavior Technician | 5522 Lone Star Pkwy Ste 101, San Antonio, TX 78253-6720 | 2019-12-12 |
| 1750929485 | Erin Hall | Behavior Technician | 5522 Lone Star Pkwy Ste 101, San Antonio, TX 78253-6720 | 2019-12-12 |
| 1205474145 | Gloria Cassandra Rodriguez | Behavior Technician | 5522 Lone Star Pkwy Ste 101, San Antonio, TX 78253-6720 | 2019-12-10 |
| 1508407800 | Matthew Warzecha | Behavior Technician | 5522 Lone Star Pkwy Ste 101, San Antonio, TX 78253-6720 | 2019-10-08 |
| 1487296745 | Bianka Ramos | Behavior Technician | 5522 Lone Star Pkwy Ste 101, San Antonio, TX 78253-6720 | 2019-10-08 |
| 1427699776 | Anastasia Raye Monroy-navarro | Behavior Technician | 5522 Lone Star Pkwy Ste 101, San Antonio, TX 78253-6720 | 2019-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587431 | Mysa Dental Pllc | Clinic/Center | 13762 Potranco Rd, Suite 400, San Antonio, TX 78253 | 2020-10-30 |
| 1831796770 | Keesha Ann Green | Behavior Technician | 5522 Lone Star Pkwy Building #3 Suite 101, San Antonio, TX 78253 | 2020-10-05 |
| 1164044392 | H-e-b, Lp | Clinical Medical Laboratory | 14325 Potranco Rd, San Antonio, TX 78253 | 2020-05-11 |
| 1790318400 | Judith Poole | Massage Therapist | 10919 Culebra Rd Ste 112, Room 5, San Antonio, TX 78253 | 2020-02-20 |
| 1780217976 | Tovar Dental, Pllc | Dentist | 11840 Alamo Ranch Parkway, #90, San Antonio, TX 78253 | 2020-02-17 |
| 1104468263 | Diane-claire Villarreal | Behavior Technician | 522 Lonestar Parkway Suite 101, San Antonio, TX 78253 | 2019-10-10 |
| 1194374215 | Deren Robert Green | Counselor | 1401 Dezarae Lot #3, San Antonio, TX 78253 | 2019-09-11 |
| 1508425554 | Michael Lavaughn Nash | Physical Therapist | 11919 Culebra Road, Bldg. 1, Suite 101, San Antonio, TX 78253 | 2019-06-12 |
| 1548823263 | Bexar County Emergency Services District Number Two | Ambulance | 7045 Old Talley Rd., San Antonio, TX 78253 | 2019-04-18 |
| 1053879742 | Donnelle D Storrs | Nurse Practitioner | Soba Recovery Center Texas, 1401 Dezarae, San Antonio, TX 78253 | 2019-03-12 |
| Find all providers in zip 78253 | ||||
| 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 |
|---|---|---|---|---|
| 1568063188 | Victoria Renee Sanchez | Behavioral Analyst | 3201 Cherry Ridge Dr Ste 205, San Antonio, TX 78230-4835 | 2020-11-02 |
| 1942809124 | Lacuna Autism Services LLC | Behavioral Analyst | 2923 Dason Ledge, San Antonio, TX 78258-4591 | 2020-10-20 |
| 1154947380 | Roshan Mogul | Behavioral Analyst | 3910 Texas Hawthorn, San Antonio, TX 78261-2742 | 2020-06-23 |
| 1174148514 | Behavior Saviors LLC | Behavioral Analyst | 1407 Canyon Parke Dr, San Antonio, TX 78232-4744 | 2020-06-11 |
| 1255964557 | Devin Wedding | Behavioral Analyst | 1310 Canyon Parke Dr, San Antonio, TX 78232-4748 | 2020-02-15 |
| 1093353716 | Aisha Davis | Behavioral Analyst | 21727 W Interstate 10 Ste 108, San Antonio, TX 78257-2108 | 2019-12-12 |
| 1659917169 | Brianna Ashly Garcia | Behavioral Analyst | 3002 Culebra Rd, 105, San Antonio, TX 78251 | 2019-11-19 |
| 1750932257 | Amber Lewis | Behavioral Analyst | 13330 Blanco Rd Apt 503, San Antonio, TX 78216-2136 | 2019-09-25 |
| 1346800943 | Savannah M Altamirano | Behavioral Analyst | 20770 Us Highway 281 N Ste 108-173, San Antonio, TX 78258-7655 | 2019-06-17 |
| 1598321671 | Ramona Sue Kemper | Behavioral Analyst | 4914 Watering Trail Dr, San Antonio, TX 78247-5910 | 2019-05-14 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78253 |
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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.