Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angelly Blanco Gonzalez

Individual provider Behavior Technician · NPI 1629875802

Angelly Blanco Gonzalez is a Behavior Technician in Herndon, Virginia. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

13800 Coppermine Rd
Herndon, VA 20171-6163
Phone: (718) 215-5311
Fax: (718) 865-5165
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1629875802
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 26, 2025
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 26, 2025

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