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Individual

DEREK DEMITRI GONZALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
23772 RICHMOND CIR, HARLINGEN, TX 78552-2951
(956) 335-1520
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
TX
106E00000X
Assistant Behavior Analyst

Other

Enumeration date
08/21/2023
Last updated
08/21/2023
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