Individual
ALEXA RENEE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12443 LEWIS ST STE 201, GARDEN GROVE, CA 92840-4650
(714) 748-4440
Mailing address
12443 LEWIS ST STE 201, GARDEN GROVE, CA 92840-4650
(714) 748-4440
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/16/2019
Last updated
05/16/2019
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