MRS. Marisela Gonzales I

NPI #1003195421 in North Las Vegas, Nevada

Provider Information

NPI Number: 1003195421
Entity Type: Individual
Name: MRS. Marisela Gonzales I
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Aug 16, 2011
Last Updated: Oct 26, 2015

Practice Location

Address: 2535 W CHEYENNE AVE
Address 2: #104
City: North Las Vegas
State: Nevada
ZIP Code: 89032-8929
Phone: (702) 202-2567

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary
Behavior Analyst	103K00000X

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