Individual
IRMA A GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9320 SW BARBUR BLVD STE 125, PORTLAND, OR 97219-5405
(877) 264-6747
Mailing address
295 89TH ST STE 306, DALY CITY, CA 94015-1656
(877) 264-6747
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/24/2019
Last updated
09/11/2023
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