Daiza Janisa Gonzales

NPI #1962266130 in Jerome, Idaho

Provider Information

NPI Number
1962266130
Entity Type
Individual
Name
Daiza Janisa Gonzales
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Feb 8, 2024
Last Updated
Feb 8, 2024

Practice Location

Address
130 SOUTH LINCOLN
City
Jerome
State
Idaho
ZIP Code
83338
Phone
(385) 319-0395

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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