Active NPI
Jonathan David Lenz
- Behavior Technician
- Gainesville, GA
National Provider Identifier
1821971128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB1057759
- Practice address
- 1967 Jesse Jewell Pkwy
Gainesville, GA 30507 - Phone
- (678) 347-1165
- NPI assigned
- Jul 26, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB1057759 | GA | Primary |
Addresses
Primary practice location
1967 Jesse Jewell Pkwy
Gainesville, GA 30507
Mailing address
2114 Lakecrest CT
Dacula, GA 30019-2903
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB1057759 | GA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753488000000",
"number": "1821971128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2114 LAKECREST CT",
"city": "DACULA",
"state": "GA",
"postal_code": "300192903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1967 JESSE JEWELL PKWY",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "30507",
"telephone_number": "678-347-1165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENZ",
"first_name": "JONATHAN",
"middle_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-26",
"last_updated": "2025-07-26",
"certification_date": "2025-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "BACB1057759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.