Individual
JENNIFER GONZALEZ MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2021 E HENNEPIN AVE STE LL20, MINNEAPOLIS, MN 55413-2738
(612) 259-7711
Mailing address
4126 JASON AVE NE, SAINT MICHAEL, MN 55376-3061
(612) 355-0344
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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