Andrea Gonzales

NPI #1649866229 in Bloomfield, New Mexico

Provider Information

NPI Number: 1649866229
Entity Type: Individual
Name: Andrea Gonzales
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 17, 2020
Last Updated: Dec 17, 2020

Practice Location

Address: 6763 US 64
City: Bloomfield
State: New Mexico
ZIP Code: 87413-9564
Phone: (505) 716-7241

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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