Individual
SELENA DURAN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4025 W 226TH ST, TORRANCE, CA 90505-2340
(310) 373-4556
Mailing address
4025 W 226TH ST, TORRANCE, CA 90505-2340
(310) 373-4556
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
167G00000X
Licensed Psychiatric Technician
Primary
41481
CA
Other
Enumeration date
02/21/2024
Last updated
04/18/2024
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