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Deactivated NPI 1609014554 Deactivated / Inactive NPI Female Practitioner

Andrea E Gonzalez

Behavior Analyst • Ridgefield, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Andrea Gonzalez has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 30, 2009
NPI Deactivation Date August 09, 2011
Total Practice Duration ~2 Years of Practice (2009 – 2011)

Professional Overview & Biography Verified Profile Summary

Andrea Gonzalez was a registered Behavior Analyst practicing in Ridgefield, NJ. Throughout an active medical career spanning 2 years, Andrea Gonzalez provided care at the practice location at 725 RIVER ROAD SUITE 32 #313 until profile deactivation on 2011-08-09.

Practice Location & Contact Primary Location

Practice Address

725 River Road Suite 32 #313

Ridgefield, NJ 070202417

Telephone 2018738611
Fax 2015974489
Associated Practice Facility / Clinic
🏢 Ag Behavioral Services, Llc Facility NPI 1487380242

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Ridgefield, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.8 Yrs
Regional Practice Density
7 Specialists

Practicing in Ridgefield, NJ (3790 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-09-10
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License NJ 1-16-21638

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Behavior Specialist
$$$$$$$$$ (NJ)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location September 10, 2025

Registered at 725 RIVER ROAD SUITE 32 #313, RIDGEFIELD, NJ 070202417 (Tel: 2018738611)

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Updated Business Mailing Address September 10, 2025

Registered at 725 RIVER ROAD SUITE 32 #313, RIDGEFIELD, NJ 076571502 (Tel: 2018738611)

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Updated Business Mailing Address July 10, 2019

Registered at 1014 ALEXANDER AVE, RIDGEFIELD, NJ 076571502 (Tel: 2018738611)

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2019

Behavior Analyst (License #1-16-21638 in NJ)

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Updated Practice Location March 20, 2019

Registered at 545 HILLSIDE ST, RIDGEFIELD, NJ 076572417 (Tel: 2018738611)

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Updated Business Mailing Address March 20, 2019

Registered at 545 HILLSIDE ST, RIDGEFIELD, NJ 076572417 (Tel: 2018738611)

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Provider Name / Credentials Updated March 20, 2019

Recorded as ANDREA GONZALEZ

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2019

Psychologist

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NPI Profile Deactivated August 09, 2011

Record deactivated on August 09, 2011

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Initial NPI Registration & Enumeration January 30, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609014554
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2009
Last Update: September 10, 2025
Deactivation Date: August 09, 2011
Sole Proprietor: Yes

Mailing Address

725 River Road Suite 32 #313

Ridgefield, NJ 076571502

Phone: 2018738611

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.