Individual
ELYSSIA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
304 S JONES BLVD STE 7733, LAS VEGAS, NV 89107-2623
(702) 352-6855
Mailing address
11161 SADDLE IRON ST, LAS VEGAS, NV 89179-1222
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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