Jennifer Garcia Gonzalez
Individual provider Active NPI Assistant Behavior Analyst · Lehigh Acre, FL
NPI 1821879552 · NPPES record last updated Dec 3, 2024
Key facts
- NPI
- 1821879552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Assistant Behavior Analyst 106E00000X
- License
- 0-24-15664 (FL)
- Practice address
- 215 Lake Ave
Lehigh Acre, FL 33936 - Phone
- (239) 321-2480
- NPI assigned
- Oct 9, 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 |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 0-24-15664 | FL | Yes |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
215 Lake Ave
Lehigh Acre, FL 33936
Mailing address
215 Lake Avenue
Lehigh Acre, FL 33936
Phone (239) 321-2480
Other providers in Lehigh Acre, FL
All providers in Lehigh Acre, FL · Assistant Behavior Analyst in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2024. 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.