Individual
ALISSIA ANDREA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
351 WAGONER DR, FAYETTEVILLE, NC 28303-4608
(910) 491-0061
Mailing address
6316 JACOBS CREEK CIR, FAYETTEVILLE, NC 28304-4453
(915) 240-7204
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
A3574
NC
Other
Enumeration date
03/03/2023
Last updated
11/10/2025
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