Active NPI
Ana Gabriel Blanco Gonzalez
- Behavior Technician
- Jacksonville, FL
National Provider Identifier
1033907829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-25-430475
- Practice address
- 401 Monument Rd
Jacksonville, FL 32225-6489 - Phone
- (904) 718-1563
- NPI assigned
- Apr 30, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-25-430475 | FL | Primary |
Addresses
Primary practice location
401 Monument Rd
Jacksonville, FL 32225-6489
Mailing address
401 Monument Rd
Jacksonville, FL 32225-6489
Phone (904) 718-1563
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-25-430475 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1033907829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 MONUMENT RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322256489",
"telephone_number": "904-718-1563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 MONUMENT RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322256489",
"telephone_number": "904-718-1563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANCO GONZALEZ",
"first_name": "ANA",
"middle_name": "GABRIEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-30",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-25-430475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.