MS. JESSICA THERESA GONZALES (NPI# 1720468143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720468143 |
| Entity Type | Individual |
| Full Name | MS. JESSICA THERESA GONZALES |
| Credential | AAC |
| Practice Address |
5301 Tieton Drive, Suite C C/o Catholic Family & Child Service Yakima WA 98908-3478 |
| Mailing Address |
5301 Tieton Dr Ste C Yakima WA 98908-3478 |
| Practice Telephone | 5099657100 |
| Practice Fax Number | 5099669750 |
| Mailing Telephone | 5099657100 |
| Mailing Fax Number | 5099669750 |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2019-01-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
CG60553420 | WA | Behavioral Health & Social Service Providers |
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336543 | Jessica Gonzales | Technician, Pathology | 11274 S Fortuna Rd Ste D436, Yuma, AZ 85367-7847 | 2020-11-03 |
| 1790136745 | Jessica Gonzales | Dental Hygienist | 4800 Cutler Ave Ne, Albuquerque, NM 87110-4033 | 2016-06-30 |
| 1750784112 | Jessica Helena Gonzales | Nurse Practitioner | 16191 Ne 83rd St, Unit C101, Redmond, WA 98052-3996 | 2014-09-30 |
| 1124440706 | Jessica Gonzales | Doula | 4108 Sunset Blvd, Houston, TX 77005-1906 | 2014-01-15 |
| 1841813151 | Jessica Renee Gonzales | Student in an Organized Health Care Education/Training Program | 4801 Alberta Ave, El Paso, TX 79905-2707 | 2020-05-20 |
| 1962041467 | Jessica Marie Gonzales | Behavior Technician | 94-849 Lumiaina St Unit 201, Waipahu, HI 96797-5677 | 2019-12-31 |
| 1720624356 | Jessica Gonzales | Family Medicine | 2501 Kentucky Ave, Paducah, KY 42003-3813 | 2019-11-19 |
| 1346895653 | Jessica Lee Gonzales | Speech-Language Pathologist | 1851 Golden Eagle Way Ste 43, Fleming Island, FL 32003-4334 | 2019-08-04 |
| 1093207540 | Jessica Jean Gonzales | Behavior Technician | 581 Highway J, Hayti, MO 63851-1200 | 2018-05-31 |
| 1013407535 | Jessica Sinay Gonzales | Nurse Practitioner | 8610 Martin Luther King Blvd, Houston, TX 77033-2308 | 2018-05-10 |
| Street Address |
5301 TIETON DRIVE, SUITE C C/O CATHOLIC FAMILY & CHILD SERVICE |
| City | YAKIMA |
| State | WA |
| Zip Code | 98908-3478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093890519 | Melissa R Gorsuch-clark | Counselor | 5301 Tieton Drive, Suite C, C/o Catholic Family & Child Service, Yakima, WA 98908-3478 | 2006-10-25 |
| 1376081927 | Taylor Anne Judd | Counselor | 5301 Tieton Drive, Suite C, C/o Catholic Family and Child Service, Yakima, WA 98908-3478 | 2017-02-03 |
| 1861930471 | Alejandra Sedano Lopez | Counselor | 5301 Tieton Drive, Suite C, Catholic Family and Child Service, Yakima, WA 98908-3478 | 2017-02-02 |
| 1548705999 | Sally Jane Forrest | Counselor | 5301 Tieton Drive, Suite C, C/o Catholic Family & Child Service, Yakima, WA 98908-3478 | 2016-12-21 |
| 1710330766 | Isaac Ethan Ayon Jr. | Social Worker | 5301 Tieton Drive, Suite C, Catholic Family and Child Service, Yakima, WA 98908-3478 | 2016-07-14 |
| 1245691591 | Vania Flores-zuno | Social Worker | 5301 Tieton Drive, Suite C, C/o Catholic Family & Child Service, Yakima, WA 98908-3478 | 2016-03-15 |
| 1457717407 | Lynnette Erin Whitney | Social Worker | 5301 Tieton Drive, Suite C, C/o Catholic Family & Child Service, Yakima, WA 98908-3478 | 2016-01-06 |
| 1730569161 | Minhee Park | Social Worker | 5301 Tieton Drive, Suite C, C/o Catholic Family & Child Service, Yakima, WA 98908-3478 | 2015-06-01 |
| 1063892578 | Maria D. Portillo | Counselor | 5301 Tieton Drive, Suite C, C/o Catholic Family &child Service, Yakima, WA 98908-3478 | 2015-06-01 |
| 1013397439 | Ashley Nicole Ellerbe | Social Worker | 5301 Tieton Drive, Suite C, C/o Catholic Family & Child Service, Yakima, WA 98908-3478 | 2015-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857941 | Hillary Leigh Frank | Massage Therapist | 607 S 48th Ave Suite A, Yakima, WA 98908 | 2020-10-07 |
| 1255976056 | Olusegun Adesesan Bamgbelu | Pharmacist | Memorial Cornerstone Pharmacy, 4003 Creekside Loop, Yakima, WA 98908 | 2019-11-15 |
| 1699325811 | Sunrise Dental of Yakima | Dentist | 1020 South 40th Avenue, Suite G, Yakima, WA 98908 | 2019-09-19 |
| 1558896175 | Alyssa Noelle Wickenhagen | Specialist/Technologist | 106 N 91st Ave, Yakima, WA 98908 | 2017-04-21 |
| 1962861591 | Vanessa Roth | Massage Therapist | 10607 Wide Hollow Road, Yakima, WA 98908 | 2016-02-10 |
| 1407214000 | Kristine Mcclure | Counselor | 506 N 40th Ave Ste 201, Yakima, WA 98908 | 2016-02-10 |
| 1245635069 | Harry Williams | Pharmacist | 6600 West Nob Hill Blvd, Yakima, WA 98908 | 2014-10-23 |
| 1508107509 | Richard Paul Bustetter | Registered Nurse | 6513 West Chestnut Ave, Elite Nursing P.l.l.c., Yakima, WA 98908 | 2013-03-15 |
| 1528305331 | Beverly Irene Chandler | Licensed Practical Nurse | 6573 W. Chestnut Ave, Yakima, WA 98908 | 2013-01-14 |
| 1225373764 | Susan Schell | Licensed Practical Nurse | 6513 W.chestnut Ave, Elite Nursing, Yakima, WA 98908 | 2012-12-11 |
| Find all providers in zip 98908 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851951735 | Irvin Mendoza | Behavior Technician | 5201 Tieton Dr, Yakima, WA 98908-3485 | 2019-06-13 |
| 1457903486 | Jamie Rae Jordan | Behavior Technician | 5201 Tieton Dr, Yakima, WA 98908-3485 | 2019-07-10 |
| 1619539806 | Joselyn Ruiz-anguiano | Behavior Technician | 5201 Tieton Dr, Yakima, WA 98908-3485 | 2019-07-08 |
| 1205497484 | Alicia Ann Justice | Behavior Technician | 5301 Tieton Dr Ste C, Yakima, WA 98908-3479 | 2019-06-27 |
| 1437716800 | Miguel Angel Pedroza | Behavior Technician | 918 E Mead Ave, Yakima, WA 98903-3720 | 2019-05-21 |
| 1144798240 | Asael Munguia | Behavior Technician | 5301 Tieton Dr Ste C, Yakima, WA 98908-3479 | 2018-11-06 |
| 1548755390 | Omar Luna | Behavior Technician | 3801 Kern Way, Yakima, WA 98902-6340 | 2018-06-25 |
| 1982193843 | Cheri Joy Bednarik | Behavior Technician | 3801 Kern Way, Yakima, WA 98902-6340 | 2018-05-07 |
| 1174021703 | Lauren Andrelle Sensing | Behavior Technician | 3801 Kern Way, Yakima, WA 98902-6340 | 2018-01-29 |
| 1558870717 | Kiley Sue Dunn | Behavior Technician | 3801 Kern Way, Yakima, WA 98902-6340 | 2017-09-20 |
| Find all providers in YAKIMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.