Individual
FERNANDA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 ROYALTY DR STE 180, POMONA, CA 91767-3046
(909) 766-7340
(909) 865-0730
Mailing address
1900 ROYALTY DR STE 180, POMONA, CA 91767-3046
(909) 766-7340
(909) 865-0730
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
06/26/2025
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