Ilse Vasquez Gonzalez

NPI #1831930437 in Eagan, Minnesota

Provider Information

NPI Number: 1831930437
Entity Type: Individual
Name: Ilse Vasquez Gonzalez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 5, 2024
Last Updated: Sep 4, 2024

Practice Location

Address: 860 BLUE GENTIAN RD STE 200
City: Eagan
State: Minnesota
ZIP Code: 55121-1567
Phone: (651) 802-2533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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