Ms Jessica Theresa Gonzales, AAC is a
Behavior Technician based in Yakima, Washington. Ms Jessica Theresa Gonzales is licensed to practice in * (Not Available) (license number ) and her current practice location is
5301 Tieton Drive, Suite C, C/o Catholic Family & Child Service, Yakima, Washington. She can be reached at her office (for appointments etc.) via phone at
(509) 965-7100.
NPI number for Ms Jessica Theresa Gonzales is 1720468143 and her current mailing address is 5301 Tieton Dr Ste C, Yakima, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720468143.
Healthcare Provider's Profile
| Full Name | Ms Jessica Theresa Gonzales |
|---|
| Gender | Female |
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| Speciality | Behavior Technician |
|---|
| Location | 5301 Tieton Drive, Suite C, Yakima, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720468143
- Provider Enumeration Date: 06/01/2015
- Last Update Date: 01/22/2019
Medical Identifiers
Medical identifiers for Ms Jessica Theresa Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720468143 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | CG60553420 (Washington) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | 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. Ms Jessica Theresa Gonzales 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 |
|---|
Ms Jessica Theresa Gonzales, AAC
5301 Tieton Dr Ste C,
Yakima, WA 98908-3478
Ph: (509) 965-7100 | Ms Jessica Theresa Gonzales, AAC
5301 Tieton Drive, Suite C, C/o Catholic Family & Child Service,
Yakima, WA 98908-3478
Ph: (509) 965-7100 |
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