Individual
MS. JEANELLE VIANEY GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6516 BROADWAY ST STE 112, PEARLAND, TX 77581-7879
(281) 258-4447
Mailing address
12402 SKYVIEW CRESCENT CT, HOUSTON, TX 77047-1406
(956) 467-2694
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
4482
TX
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/30/2018
Last updated
11/24/2021
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