MS. JAILINE GONZALEZ OTD
NPI 1053055509
Behavior Technician in Tampa, FL

Active since April 21, 2022
5001 N NEBRASKA AVE, SUITE A, TAMPA, FL 33603(813) 879-6770(813) 436-5637 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 2, 2026, Apr 21, 2022 (2 updates tracked since 2022).

About Ms. Jailine Gonzalez Otd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JAILINE GONZALEZ OTD (NPI 1053055509) is an individual behavior technician in Tampa, Florida and active in the NPI registry since April 2022. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1053055509
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameMS. JAILINE GONZALEZCredential: OTD
Location Address5001 N NEBRASKA AVE, SUITE ATampa, FL 33603-2304
Mailing Address3339 Handy RdTampa, FL 33618-4617 · (863) 234-9627
Fax(813) 436-5637
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 21, 2022
Last NPPES UpdateJanuary 2, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2026
NPI 1053055509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
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.
Also ListedOccupational TherapistTaxonomy 225X00000X · License 26727 (FL)
5001 N NEBRASKA AVE, Tampa, FL 33603

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Jailine Gonzalez Otd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789151366
PECOS Enrollment IDI20260430004475

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
5001 N NEBRASKA AVE
TAMPA, FL 33603

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jailine Gonzalez's NPI number?

The NPI number for Jailine Gonzalez is 1053055509. It was assigned to this individual provider in the NPPES registry on April 21, 2022.

Where is Jailine Gonzalez located?

Jailine Gonzalez practices at 5001 N Nebraska Ave Suite A, Tampa, FL 33603. The listed phone number is (813) 879-6770.

What is Jailine Gonzalez's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

Is Jailine Gonzalez enrolled in Medicare?

Yes. Jailine Gonzalez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jailine Gonzalez was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.