Individual
AKAISHA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13725 STRUTHERS RD, COLORADO SPRINGS, CO 80921-2451
(719) 301-5100
Mailing address
1214 E SAN MIGUEL ST APT 3, COLORADO SPRINGS, CO 80909-3657
(719) 369-0566
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-386979
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790211605
—
CO
Enumeration date
01/21/2025
Last updated
01/21/2025
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