Individual
BRANDON GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4455 E 12TH AVE, DENVER, CO 80220-2415
(303) 504-7900
Mailing address
229 N SHELDON RD, PLYMOUTH, MI 48170-1524
(313) 278-4601
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/08/2018
Last updated
09/21/2023
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