Individual
JONI GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6075 CLINTON RD, PADUCAH, KY 42001-9248
(270) 217-0657
Mailing address
6075 CLINTON RD, PADUCAH, KY 42001-9248
(270) 217-0657
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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