Individual
BRENNA RENEE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36101 EXPLORER DR APT 11201, PALM DESERT, CA 92211-2244
(760) 459-9794
Mailing address
36101 EXPLORER DR APT 11201, PALM DESERT, CA 92211-2244
(760) 459-9794
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/30/2021
Last updated
04/03/2026
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