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Individual

BRIANNA LEIGH GONZALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4606 S 14TH ST, ABILENE, TX 79605-4735
(325) 704-4392
Mailing address
165 PILGRIM RD APT SUITE, APT, SUITE, BLDG. (OPTIONAL), ABILENE, TX 79602-4355
(325) 238-1060

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
TX
106S00000X
Behavior Technician

Other

Enumeration date
02/12/2020
Last updated
02/12/2020
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