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NPI Code Detail

MEDICARE: JOCELYN GONZALEZ

MEDICARE: JOCELYN GONZALEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician25-439275TX

General Provider Information

NPI Number : 1790648962
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOCELYN GONZALEZ
Provider Business Mailing Address
First Line : 2610 CORNERSTONE BLVD
Second Line :
City : EDINBURG
State : TX
Zip : 78539-9122
Country : US
Telephone Number : 956-688-1818
Fax Number : 956-668-1819
Provider Business Practice Location Address
First Line : 2610 CORNERSTONE BLVD
Second Line :
City : EDINBURG
State : TX
Zip : 78539-9122
Country : US
Telephone Number : 956-688-1818
Fax Number : 956-668-1819
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2025
Last Update Date : 12/04/2025

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Directions to “ JOCELYN GONZALEZ ” Practice Location

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