Jenly Katherine Gonzalez Pagan

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

6973 University Blvd
Winter Park, FL 32792-6713

Phone

(407) 733-9291

NPI assigned

Jun 11, 2025

Last updated

Jun 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jenly Katherine Gonzalez Grullon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1194610816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13041 BOGGY POINTE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328244837",
            "telephone_number": "407-733-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6973 UNIVERSITY BLVD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327926713",
            "telephone_number": "407-733-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ PAGAN",
        "first_name": "JENLY",
        "middle_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENLY",
            "last_name": "GONZALEZ GRULLON",
            "middle_name": "KATHERINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Gomez
• Virginia Gomis, PTA, ATC
• Jaime O Gonzales, LMT
• Ronald Dolor Gonzales, MD
• Karen K Gonzalez Gaviria
• Ian Joeh Gonzalez Santiago, DPT
• Natalia Gonzalez-Castano
• Adriana Gonzalez-Garcia, MSCP, MBA
• Alessandra Maria Gonzalez
• Alfredo E Gonzalez, M.D.

• Behavior Technician in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.

Verify at the official NPI Registry.