Individual
JUAN R GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 W FRONT ST, FLORENCE, NJ 08518-1318
(609) 315-5992
(855) 217-6179
Mailing address
15 W FRONT ST, FLORENCE, NJ 08518-1318
(609) 315-5992
(855) 217-6179
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-93156
NJ
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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