Jeanne Stephanie Gonzalez, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-32424 Issued in FL

Practice address

4101 NW 89TH Blvd
Gainesville, FL 32606-3813

Phone

(352) 554-9162

NPI assigned

May 14, 2016

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

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": "1463184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1609223155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NE 8TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326015534",
            "telephone_number": "321-262-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 NW 89TH BLVD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326063813",
            "telephone_number": "352-554-9162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 Forest Trl",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327656729",
            "country_code": "US",
            "telephone_number": "321-262-7873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JEANNE",
        "middle_name": "STEPHANIE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-18-32424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Raul Gonzalez, M.D.
• Gabriela Gonzalez
• Ihara Gonzalez
• Ilex Gonzalez
• Javier Gonzalez
• Juan Jose Gonzalez, MD
• Katie Gonzalez
• Kimberly A Gonzalez, FNP
• Kinsley J Gonzalez, ARNP
• Matthew Joseph Gonzalez, DO

• Behavior Analyst in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.