Most Relevant Information
Provider Data
| NPI Number: | 1003581752 |
| Provider Name: | KARINA LUCIA GONZALEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/13/2021 |
| Last Updated: | 08/13/2021 |
Provider Practice Location
1811 GRAND CANAL BLVD STE 2
STOCKTON
CA
952078107
Practice Location Phone/Fax
| Phone: | 2092131124 |
| Fax: |
Provider Mailing Location
500 FAIRWAY DR STE 102
DEERFIELD BEACH
FL
334411817
Provider Mailing Phone/Fax
| Phone: | 8774182978 |
| Fax: | 2186866500 |