Andrea E Gonzalez

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-16-21638 Issued in NJ

Practice address

725 River Road Suite 32 #313
Ridgefield, NJ 07020-2417

Phone

(201) 873-8611

Fax

(201) 597-4489

NPI assigned

Jan 30, 2009

Reactivated

Mar 20, 2019

Last updated

Sep 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ag Behavioral Services, LLC

  • Behavior Analyst
  • Ridgefield, NJ
  • NPI 1487380242
  NPD Authorized official

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1609014554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RIVER ROAD SUITE 32 #313",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571502",
            "telephone_number": "201-873-8611",
            "fax_number": "201-597-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RIVER ROAD SUITE 32 #313",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "070202417",
            "telephone_number": "201-873-8611",
            "fax_number": "201-597-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ANDREA",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-30",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "deactivation_date": "2011-08-09",
        "reactivation_date": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-16-21638",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR SPECIALIST",
            "identifier": "$$$$$$$$$",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shauna Frola, OTR/L
• Alan Manuel Garcia, R.PH.
• Ivis Garcia, APN
• Jeni Glavicic, D.M.D.
• Lisbette Gonzales
• Jordania Gonzalez, MS.ED
• Grace Adult Day Care Inc
• Vanessa De Jesus Guzman, LPC, NCC
• Chong Sok Ha
• Hackensack Meridian Health Medical Group - Specialty Care PC (HMMG New Jersey Oral & Maxillofacial Surgery)

• Behavior Analyst in Ridgefield, NJ
• Providers in Ridgefield, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.