Licelot Gonzalez, RBT
Specialist in Secaucus, New Jersey
1912372426- Practice location
- 600 Meadowlands Pkwy, Suite 142, Secaucus, NJ 07094-1633
- Phone
- 201-446-7580
- Fax
- —
- Last updated
- May 8, 2016
Licelot Gonzalez is a Specialist based in Secaucus, NJ. Licelot Gonzalez practices in Secaucus, NJ and has the professional credentials of RBT. The NPI Number for Licelot Gonzalez is 1912372426. The current practice location address for Licelot Gonzalez is 600 Meadowlands Pkwy, Suite 142, Secaucus, NJ 07094-1633 and can be reached out via phone at 201-446-7580.
Provider Profile Details
- NPI Number
- 1912372426
- Provider Name
- Licelot Gonzalez
- Credential
- RBT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 600 Meadowlands Pkwy, Suite 142, Secaucus, NJ 07094-1633
- Phone Number
- 201-446-7580
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 9, 2015
- Last Update Date
- May 8, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 600 Meadowlands Pkwy
Suite 142
Secaucus, NJ 07094-1633 - City
- Secaucus
- State
- New Jersey
- Zip
- 07094-1633
- Phone Number
- 201-446-7580
Provider Business Mailing Address Details
- Address
- 600 Meadowlands Pkwy
Suite 142
Secaucus, NJ 07094-1633 - City
- Secaucus
- State
- NJ
- Zip
- 07094-1633
- Phone Number
- 201-446-7580
License Information
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Licelot Gonzalez, RBT?
The NPI number of Licelot Gonzalez, RBT is 1912372426. It was assigned on December 9, 2015 and is currently active in the NPPES registry.
What is the specialty of Licelot Gonzalez, RBT?
Licelot Gonzalez, RBT is registered under the primary taxonomy Specialist (code 174400000X).
Where does Licelot Gonzalez, RBT practice?
The practice location is 600 Meadowlands Pkwy, Suite 142, Secaucus, NJ 07094-1633. The office can be reached at 201-446-7580 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912372426 directly on the NPPES registry website.