Individual
ANGELA MARIE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 W BLANCO RD STE 9, BOERNE, TX 78006-2093
(210) 541-2860
Mailing address
116 W BLANCO RD STE 9, BOERNE, TX 78006-2093
(210) 541-2860
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
19-106901
TX
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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