Jenna Gonzalez, BCBA, LBA is a
Behavior Analyst based in Lawrenceville, Illinois. Jenna Gonzalez is licensed to practice in Alabama (license number 2018-074) and her current practice location is
11020 State Route 250, Lawrenceville, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 943-3754.
NPI number for Jenna Gonzalez is 1205233822 and her current mailing address is 7027 Old Madison Pike Nw Ste 108, Huntsville, Alabama. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205233822.
Healthcare Provider's Profile
Full Name | Jenna Gonzalez |
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Gender | Female |
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Speciality | Behavior Analyst |
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Location | 11020 State Route 250, Lawrenceville, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205233822
- Provider Enumeration Date: 11/25/2014
- Last Update Date: 05/11/2023
Medical Identifiers
Medical identifiers for Jenna Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205233822 | NPI | - | NPPES |
036072942 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | 2018-074 (Alabama) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jenna Gonzalez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jenna Gonzalez, BCBA, LBA 7027 Old Madison Pike Nw Ste 108, Huntsville, AL 35806-2369 Ph: (618) 943-3754 | Jenna Gonzalez, BCBA, LBA 11020 State Route 250, Lawrenceville, IL 62439-3379 Ph: (618) 943-3754 |
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