Individual
ALYSSA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75235-5202
(214) 645-8898
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-9090
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT21181414
TX
363A00000X
Physician Assistant
Primary
PA19966
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-21-181414
BACB
TX
Enumeration date
08/23/2021
Last updated
04/15/2026
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