Individual
DAISY D GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2111 E BASELINE RD, TEMPE, AZ 85283-1516
(602) 544-7210
Mailing address
7374 W MAGDALENA LN, LAVEEN, AZ 85339-3404
(602) 544-7210
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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