Most Relevant Information
Provider Data
| NPI Number: | 1003410820 |
| Provider Name: | LINDA ASHLEY GONZALEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-20-145543 |
Most Important Dates
| Enumeration Date: | 11/23/2020 |
| Last Updated: | 11/23/2020 |
Provider Practice Location
3940 W ANN RD STE 100
NORTH LAS VEGAS
NV
890313845
Practice Location Phone/Fax
| Phone: | 7028208891 |
| Fax: |
Provider Mailing Location
3940 W ANN RD STE 100
NORTH LAS VEGAS
NV
890313845
Provider Mailing Phone/Fax
| Phone: | 7028208891 |
| Fax: |