Individual
ERIKA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5945 161ST ST, FRESH MEADOWS, NY 11365-1414
(718) 395-4522
Mailing address
820 CATON AVE, BROOKLYN, NY 11218-2604
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12152964
NY
106S00000X
Behavior Technician
1873967
NY
Other
Enumeration date
03/31/2020
Last updated
01/22/2024
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