Individual
MICHELE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED, BCBA
Contact information
Practice address
614 YUCCA DR, GRAND JUNCTION, CO 81507-1026
(970) 314-5706
Mailing address
614 YUCCA DR, GRAND JUNCTION, CO 81507-1026
(970) 314-5706
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-15788
CO
Other
Enumeration date
09/10/2014
Last updated
12/05/2016
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