Individual
CHRISTIAN RAYE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7905 N MEADOWLARK WAY STE C, COEUR D ALENE, ID 83815-5041
(208) 762-1250
Mailing address
3773 N RAMSEY RD APT 202, COEUR D ALENE, ID 83815-9005
(951) 285-9306
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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