Individual
MELISSA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 WATERMAN AVE # 289, EAST PROVIDENCE, RI 02914-4305
(857) 222-1199
Mailing address
105 WATERMAN AVE # 289, EAST PROVIDENCE, RI 02914-4305
(857) 222-1199
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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