Individual
CARMEN ISABEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
193 N BROADWAY, PENNSVILLE, NJ 08070-1417
(856) 678-9400
Mailing address
193 N BROADWAY, PENNSVILLE, NJ 08070-1417
(856) 678-9400
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1084351
NJ
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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