Most Relevant Information
Provider Data
| NPI Number: | 1003492901 |
| Provider Name: | LAUREN GONZALEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-21-160245 |
Most Important Dates
| Enumeration Date: | 03/22/2021 |
| Last Updated: | 03/22/2021 |
Provider Practice Location
502 E RAMSEY RD
SAN ANTONIO
TX
782164639
Practice Location Phone/Fax
| Phone: | 2104903900 |
| Fax: | 2104903911 |
Provider Mailing Location
502 E RAMSEY RD
SAN ANTONIO
TX
782164639
Provider Mailing Phone/Fax
| Phone: | 2104903900 |
| Fax: | 2104903911 |