Andrea Gonzalez
Behavior Technician in Garden Grove, CA. Individual provider (NPI-1).
NPI number1679465751
StatusActive
Last updated in NPPESJul 31, 2026
Details
- NPI
- 1679465751
- Entity type
- Individual (NPI-1)
- Name
- Andrea Gonzalez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2025
- Certification date
- Jul 31, 2026
- Last updated
- Jul 31, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
12395 Lewis St Ste 102Garden Grove, CA 92840-4698
Phone 760-634-1125
Mailing address
12395 Lewis St Ste 102Garden Grove, CA 92840-4698
Phone 760-634-1125
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 2,260 Behavior Technician providers in Garden Grove · All 5,773 providers in Garden Grove
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