Individual
CLARISSA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
677 CLIFFSIDE DR STE 677, SAN DIMAS, CA 91773-2957
(626) 345-6455
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
D5725437
CA
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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