Individual
GABRIELLE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 E CENTRAL AVE, SPOKANE, WA 99208-1108
(866) 240-0808
Mailing address
117 E 16TH AVE, SPOKANE, WA 99203-2235
(509) 591-7612
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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