Active NPIIndividual provider

Lisa Gonzalez, MED, BCBA, LBA

Behavior Analyst in Exeter, Rhode Island

NPI Number1336507425
Practice location
28 Mockingbird Dr, Exeter, RI 02822-2206
Fax
—
Last updated
April 8, 2019

Lisa Gonzalez is a Behavior Analyst based in Exeter, RI. Lisa Gonzalez practices in Exeter, RI and has the professional credentials of MED, BCBA, LBA. The NPI Number for Lisa Gonzalez is 1336507425 and holds a License No. 0-14-5968 (RI). The current practice location address for Lisa Gonzalez is 28 Mockingbird Dr, Exeter, RI 02822-2206 and can be reached out via phone at 401-932-9474.

Provider Profile Details

NPI Number
1336507425
Provider Name
Lisa Gonzalez
Credential
MED, BCBA, LBA
Provider Entity Type
Individual
Gender
Female
Address
28 Mockingbird Dr, Exeter, RI 02822-2206
Phone Number
401-932-9474
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Other Names
Lisa Muntimuri (Former Name)
Provider Enumeration Date
February 3, 2016
Last Update Date
April 8, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
28 Mockingbird Dr
Exeter, RI 02822-2206
City
Exeter
Zip
02822-2206
Phone Number
401-932-9474
Exeter, RI 02822Get directions →

Provider Business Mailing Address Details

Address
28 Mockingbird Dr
Exeter, RI 02822-2206
City
Exeter
State
RI
Zip
02822-2206
Phone Number
401-932-9474

License Information

License Number
0-14-5968
License State
RI
Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lisa Gonzalez, MED, BCBA, LBA?

The NPI number of Lisa Gonzalez, MED, BCBA, LBA is 1336507425. It was assigned on February 3, 2016 and is currently active in the NPPES registry.

What is the specialty of Lisa Gonzalez, MED, BCBA, LBA?

Lisa Gonzalez, MED, BCBA, LBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in RI under license number 0-14-5968.

Where does Lisa Gonzalez, MED, BCBA, LBA practice?

The practice location is 28 Mockingbird Dr, Exeter, RI 02822-2206. The office can be reached at 401-932-9474 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336507425 directly on the NPPES registry website.

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