Serena Gonzalez
Individual provider Active NPI Behavior Technician · Battleboro, NC
NPI 1558054247 · NPPES record last updated May 30, 2023
Key facts
- NPI
- 1558054247
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 7439 Blue Sky Rd
Battleboro, NC 27809-9104 - Phone
- (252) 903-5054
- NPI assigned
- May 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
7439 Blue Sky Rd
Battleboro, NC 27809-9104
Mailing address
7439 Blue Sky Rd
Battleboro, NC 27809-9104
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All providers in Battleboro, NC · Behavior Technician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.