Most Relevant Information
Provider Data
| NPI Number: | 1003687492 |
| Provider Name: | MARIELA GONZALEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/15/2024 |
| Last Updated: | 01/15/2024 |
Provider Practice Location
125 BETHANY DR STE C
SCOTTS VALLEY
CA
950662803
Practice Location Phone/Fax
| Phone: | 8443327483 |
| Fax: | 8883347021 |
Provider Mailing Location
125 BETHANY DR STE C
SCOTTS VALLEY
CA
950662803
Provider Mailing Phone/Fax
| Phone: | 8443327483 |
| Fax: | 8883347021 |