Most Relevant Information
Provider Data
NPI Number: | 1003524026 |
Provider Name: | GABRIELLE GONZALES |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 11/08/2022 |
Last Updated: | 11/08/2022 |
Provider Practice Location
111 E CENTRAL AVE
SPOKANE
WA
992081108
Practice Location Phone/Fax
Phone: | 8662400808 |
Fax: |
Provider Mailing Location
117 E 16TH AVE
SPOKANE
WA
992032235
Provider Mailing Phone/Fax
Phone: | 5095917612 |
Fax: |