Individual
JOSE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 D STREET, SUITE R, MARYSVILLE, CA 95901
(530) 923-6889
Mailing address
210 D STREET, SUITE R, MARYSVILLE, CA 95901
(916) 442-2396
(530) 923-6889
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
372600000X
Adult Companion
Primary
1265087936
CA
Other
Enumeration date
08/08/2019
Last updated
02/04/2026
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