Most Relevant Information
Provider Data
| NPI Number: | 1003371055 |
| Provider Name: | BRIAN GONSALEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/04/2019 |
| Last Updated: | 02/04/2019 |
Provider Practice Location
180 GRAND AVE STE 225
OAKLAND
CA
946123769
Practice Location Phone/Fax
| Phone: | 5105067910 |
| Fax: |
Provider Mailing Location
2730 SHADELANDS DR BLDG 10
WALNUT CREEK
CA
945982538
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |