Individual
ANGEL GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., BCBA
Contact information
Practice address
9620 CHESAPEAKE DR, SUITE 105, SAN DIEGO, CA 92123-1369
(619) 990-2136
Mailing address
9620 CHESAPEAKE DR, SUITE 105, SAN DIEGO, CA 92123-1369
(619) 990-2136
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23126
CA
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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