Individual
DANIEL GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BMS
Contact information
Practice address
8701 SUPREME CT NE, ALBUQUERQUE, NM 87109-5051
(505) 681-6305
Mailing address
8701 SUPREME CT NE, ALBUQUERQUE, NM 87109-5051
(505) 681-6305
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/10/2022
Last updated
12/07/2023
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