Individual
HAILEY GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136 WILLIAM ST, SPRINGFIELD, MA 01105-2324
(413) 302-8404
Mailing address
136 WILLIAM ST, SPRINGFIELD, MA 01105-2324
(413) 302-8404
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/21/2023
Last updated
12/18/2024
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