Individual
MRS. MARISELA GONZALES I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2535 W CHEYENNE AVE, #104, NORTH LAS VEGAS, NV 89032-8929
(702) 202-2567
Mailing address
5575 SIMMONS ST, #1-363, NORTH LAS VEGAS, NV 89031-9009
(702) 202-2567
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
222Q00000X
Developmental Therapist
Primary
—
NV
Other
Enumeration date
08/16/2011
Last updated
10/26/2015
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