Individual
ELIJAH JAMES GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
427 W TRAVELERS TRAIL, BURNSVILLE, MN 55337
(952) 767-2267
Mailing address
427 W TRAVELERS TRAIL, BURNSVILLE, MN 55337
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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