Individual
LUCILLE EDITH GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
350 E CONESTOGA ST, NEW HOLLAND, PA 17557-1308
(421) 671-7418
Mailing address
91 MAIN ST, PO BOX 99, STRAUSSTOWN, PA 19559
(475) 775-3317
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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