Individual
JOSCELYN DANIELA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1415 HICKEY AVE, NORTH LAS VEGS, NV 89030-7176
(702) 502-6846
Mailing address
1415 HICKEY AVE, NORTH LAS VEGAS, NV 89030-7176
(702) 502-6846
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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