Individual
SOPHIA GABRIELLA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4075 PARK AVE, MEMPHIS, TN 38111-7400
(901) 584-8281
Mailing address
6230 LORNE CV, MEMPHIS, TN 38119
(901) 579-9978
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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