Bryan Gonzalez
Behavior Technician in Jensen Beach, FL. Individual provider (NPI-1).
NPI number1962098004
StatusActive
Last updated in NPPESDec 23, 2020
Details
- NPI
- 1962098004
- Entity type
- Individual (NPI-1)
- Name
- Bryan Gonzalez
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 14, 2020
- Certification date
- Dec 23, 2020
- Last updated
- Dec 23, 2020
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 | RBT-19-77504 | FL | Yes |
Practice location
3530 Nw Treasure Coast Dr Apt 104Jensen Beach, FL 34957-3693
Phone 203-300-3257
Mailing address
3530 Nw Treasure Coast Dr Apt 104Jensen Beach, FL 34957-3693
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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 9 Behavior Technician providers in Jensen Beach · All 501 providers in Jensen Beach
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