Jeanelle Vianey Gonzalez

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

4482 Issued in TX

Practice address

6516 Broadway St Ste 112
Pearland, TX 77581-7879

Phone

(281) 258-4447

NPI assigned

Apr 30, 2018

Last updated

Nov 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1871081315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12402 SKYVIEW CRESCENT CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770471406",
            "telephone_number": "956-467-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6516 BROADWAY ST STE 112",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775817879",
            "telephone_number": "281-258-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JEANELLE",
        "middle_name": "VIANEY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "4482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Gonzales
• Casey Kathleen Gonzales
• Avery Gonzalez, RBT
• Daphne Gonzalez
• Erin Gonzalez, PT
• Julissa Gonzalez
• Karina Gonzalez
• Kyle Andrew Gonzalez, DC
• Leslie Gonzalez
• Maxine Gonzalez

• Behavior Analyst in Pearland, TX
• Providers in Pearland, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.