Individual
CAMERON GONSALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 ALBRIGHT RD, KOKOMO, IN 46902-3996
(765) 438-8515
Mailing address
1613 WARHAWK RD, PERU, IN 46970-8737
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-266345
IN
Other
Enumeration date
06/16/2023
Last updated
06/18/2026
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