Individual
MRS. BRIANA KORINNA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17647 MCWETHY DR APT 3, FONTANA, CA 92336-2781
(626) 438-5855
Mailing address
17647 MCWETHY DR APT 3, FONTANA, CA 92336-2781
(626) 438-5855
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
167G00000X
Licensed Psychiatric Technician
Primary
41436
CA
Other
Enumeration date
08/24/2019
Last updated
03/17/2025
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