Individual
DIANA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1353 E MAIN ST, BROWNSBURG, IN 46112-1433
(317) 520-4748
(888) 498-5529
Mailing address
1353 E MAIN ST, BROWNSBURG, IN 46112-1433
(317) 520-4748
(888) 498-5529
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-182209
IN
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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