Individual
AMANDA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1016 W JACKSON BLVD, CHICAGO, IL 60607-2914
(773) 217-0363
Mailing address
1016 W JACKSON BLVD, CHICAGO, IL 60607-2914
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/15/2022
Last updated
09/26/2025
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