Individual
MARILYN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 VICTOR ST APT 2, HAVERHILL, MA 01832-3850
(978) 973-8284
Mailing address
29 VICTOR ST APT 1, HAVERHILL, MA 01832-3850
(978) 973-8284
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-67993
MA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/25/2021
Last updated
10/23/2024
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