Individual
ANGEL SAMANTHA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
835 W CHRISTOPHER ST, WEST COVINA, CA 91790-3702
(626) 943-7222
Mailing address
19737 CAMINO DE ROSA, WALNUT, CA 91789-2106
(626) 622-6628
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-55127
CA
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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