Individual
CYNTHIA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2711 W PETERSON AVE, CHICAGO, IL 60659-3919
(773) 937-7527
Mailing address
2711 W PETERSON AVE, CHICAGO, IL 60659-3919
(773) 937-7527
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-357264
IL
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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