Individual
ADELA PEARL GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16600 SHERMAN WAY STE 178, VAN NUYS, CA 91406-3875
(818) 235-1414
Mailing address
44397 KINGSTON DR, TEMECULA, CA 92592-5623
(858) 319-5020
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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