Barbara A Gonzales, OWNER

NPI #1215642566 in Pueblo, Colorado

Provider Information

NPI Number: 1215642566
Entity Type: Individual
Name: Barbara A Gonzales, OWNER
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Credential: OWNER
Enumeration Date: Jan 20, 2023
Last Updated: Jan 20, 2023

Practice Location

Address: 2208 MOLINE AVE
City: Pueblo
State: Colorado
ZIP Code: 81003-3810
Phone: (719) 406-6487

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training/Habilitation Specialist	373H00000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary
Non-emergency Medical Transport (VAN)	343900000X

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Organizations

Provider Name	Specialty	City
Pueblo Regional Center	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Pueblo	AI Deep Dive
Pueblo Regional Center	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Pueblo	AI Deep Dive

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