Stacey Gonzalez

NPI #1225675200 in Valley Village, California

Provider Information

NPI Number: 1225675200
Entity Type: Individual
Name: Stacey Gonzalez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 9, 2019
Last Updated: Dec 9, 2019

Practice Location

Address: 5352 LAUREL CANYON BLVD STE 100
City: Valley Village
State: California
ZIP Code: 91607-4923
Phone: (747) 254-1154

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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