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

Jan Gonzales

Individual provider Behavior Technician · NPI 1215519905

Jan Gonzales is a Behavior Technician in Irvine, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

36 Mauchly Ste A
Irvine, CA 92618-2390
Phone: (949) 727-3315
Fax: (949) 727-3624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2670 N Main St, Santa Ana, CA 92705-6639 — (949) 357-2556

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 6577 (CA)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1215519905
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 22, 2021
Last updated in NPPESOctober 5, 2023
Certification dateOctober 5, 2023
Mailing address18726 S Western Ave Ste 408, Gardena, CA 90248-3858

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