Omar Gonzalez Ponce

NPI #1437668142 in Citrus Heights, California

Provider Information

NPI Number: 1437668142
Entity Type: Individual
Name: Omar Gonzalez Ponce
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Sep 26, 2017
Last Updated: Sep 26, 2017

Practice Location

Address: 6400 TUPELO DR
City: Citrus Heights
State: California
ZIP Code: 95621-1741
Phone: (916) 729-3098

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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