Provider Demographics
NPI:1912707027
Name:GONZALEZ, KAYLEEN NATASHA (MS, BCBA)
Entity type:Individual
Prefix:
First Name:KAYLEEN
Middle Name:NATASHA
Last Name:GONZALEZ
Suffix:
Gender:
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3205 ARBOR CT
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-6683
Mailing Address - Country:US
Mailing Address - Phone:469-910-4469
Mailing Address - Fax:
Practice Address - Street 1:8260 PRECINCT LINE RD
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76182-8608
Practice Address - Country:US
Practice Address - Phone:469-910-4469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8189103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst