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JESSICA M GONZALES OTR
NPI 1962740837
Specialist in Southlake, TX

Active since January 28, 2013
2425 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092(817) 442-0222(817) 442-0223 Get Directions Write a Review

NPPES record last updated: May 30, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica M Gonzales Otr NPPES

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

JESSICA M GONZALES OTR (NPI 1962740837) is an individual specialist in Southlake, Texas, licensed in Texas (115203) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1962740837
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJESSICA M GONZALESCredential: OTR
Location Address2425 E SOUTHLAKE BLVDSouthlake, TX 76092-6674
Mailing Address2425 E Southlake BlvdSouthlake, TX 76092-6674 · (817) 442-0222 · Fax (817) 442-0223
Phone(817) 442-0222
Fax(817) 442-0223
Sole ProprietorNo
Enumeration DateJanuary 28, 2013
Last NPPES UpdateMay 30, 2013
✔ NPI 1962740837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · 115203
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2425 E SOUTHLAKE BLVD, Southlake, TX 76092
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Other Providers at the Same Location NPPES 20

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

CHLOE VONGPHACHANH
Behavior Analyst
2425 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
Tarrant County (817) 442-0222
AMY AIRINGTON
Behavior Technician
2425 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
Tarrant County (817) 442-0222
BOUAGNAN JOHANN PITAH
Behavior Technician
2425 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
Tarrant County (817) 442-0222
EMILIE SLACK RBT
Behavior Technician
2425 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
Tarrant County (817) 442-0222
MS. CATHERINE LUCKER
Specialist/Technologist, Other (Art, Medical)
2425 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
Tarrant County (817) 442-0222
EMILY FERRER RBT
Behavior Technician
2425 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
Tarrant County (817) 442-0222
KATHERINE MCGEE
Behavior Technician
2425 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
Tarrant County (817) 442-0222
JANA MACALIK RBT
Behavior Technician
2425 E SOUTHLAKE BLVD, STE 100
SOUTHLAKE, TX 76092
Tarrant County (817) 442-0222

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 Jessica Gonzales's NPI number?

The NPI number for Jessica Gonzales is 1962740837. It was assigned to this individual provider in the NPPES registry on January 28, 2013.

Where is Jessica Gonzales located?

Jessica Gonzales practices at 2425 E Southlake Blvd, Southlake, TX 76092. The listed phone number is (817) 442-0222.

What is Jessica Gonzales's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jessica Gonzales was last updated on May 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.