Individual
CAITLIN MARIE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3568 GERAGHTY AVE, FAIRBANKS, AK 99709-4701
(720) 295-3790
(877) 400-4480
Mailing address
PO BOX 72605, FAIRBANKS, AK 99707-2605
(907) 378-4225
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AK
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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