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Individual

ALBERTO GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3303 HARBOR BLVD STE B8, COSTA MESA, CA 92626-1517
(714) 786-6069
Mailing address
3303 HARBOR BLVD STE B8, COSTA MESA, CA 92626-1517

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
09/20/2019
Last updated
09/20/2019
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