Individual
BENJAMIN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED, BCBA
Contact information
Practice address
16500 VENTURA BLVD, ENCINO, CA 91436-2011
(818) 788-1003
(818) 788-1135
Mailing address
16500 VENTURA BLVD STE 360, ENCINO, CA 91436-2016
(818) 788-1003
(818) 788-1135
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33608
CA
Other
Enumeration date
02/29/2012
Last updated
06/27/2024
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