Individual
AIDEN ISAAC GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2114 N ZARAGOZA RD STE C1, EL PASO, TX 79938-8129
(915) 271-8030
Mailing address
7600 BENSON DR, EL PASO, TX 79915-1528
(915) 783-7137
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-280185
TX
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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