Individual
MELANIE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 E MAIN ST STE 1, WEATHERFORD, OK 73096-6030
(580) 414-3312
Mailing address
2121 E MAIN ST STE 1, WEATHERFORD, OK 73096-6030
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-409394
OK
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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