Individual
OIRALIS GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
12123 PROVINCETOWNE DR, CHARLOTTE, NC 28277-8440
(704) 299-6084
Mailing address
12123 PROVINCETOWNE DR, CHARLOTTE, NC 28277-8440
(704) 299-6084
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-62838
NC
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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