Individual
GONZALO JUAREZ ASCENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 STATE ST STE G750, SALEM, OR 97301-7012
(971) 273-7502
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
A311892
OR
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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