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Individual
SAUL GAMALIEL GONZAGA
Active
Individual
SAUL GAMALIEL GONZAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-35306
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-19-35306
BEHAVIOR ANALYST CERTIFICATION BOARD
CA
Enumeration date
03/26/2019
Last updated
03/26/2019
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