Individual
JAKELINE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12610 PATRICK HENRY DR, NEWPORT NEWS, VA 23602-9538
(757) 304-0224
Mailing address
1076 APPLE VALLEY CT, VIRGINIA BEACH, VA 23464-6001
(757) 761-6302
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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