Individual
NOELIS GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1294 GRANT AVE, APT. 3A, BRONX, NY 10456-1318
(917) 444-6817
Mailing address
1294 GRANT AVE, APT. 3A, BRONX, NY 10456-1318
(917) 444-6817
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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