Individual
MYLENI GONZALES WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
904 W RIVERSIDE AVE # 1137, SPOKANE, WA 99201-1011
(510) 910-4449
(510) 631-0163
Mailing address
550 KARCIO CT, PULLMAN, WA 99163-5533
(408) 528-5331
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64333
WA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/21/2018
Last updated
12/07/2023
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