Individual
BRIANNA NICOLE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
810 N EVERGREEN ST, GARDNER, KS 66030-1462
(831) 229-3850
Mailing address
810 N EVERGREEN ST, GARDNER, KS 66030-1462
(831) 229-3850
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-69508
KS
Other
Enumeration date
11/19/2020
Last updated
11/15/2023
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