Individual
MR. MARCIAL ANTHONY GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S ED., CAS, BCBA
Contact information
Practice address
5500 PORT HUDSON CT, VIRGINIA BCH, VA 23464-8781
(757) 724-8346
Mailing address
5500 PORT HUDSON CT, VIRGINIA BCH, VA 23464-8781
(757) 724-8346
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1119578
VA
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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