Jackelyne Gonzalez
Behavior Technician in Long Beach, CA. Individual provider (NPI-1).
NPI number1154041986
StatusActive
Last updated in NPPESAug 31, 2022
Details
- NPI
- 1154041986
- Entity type
- Individual (NPI-1)
- Name
- Jackelyne Gonzalez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2022
- Certification date
- Aug 31, 2022
- Last updated
- Aug 31, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3491 Elm AveLong Beach, CA 90807-4430
Phone 562-999-7788
Mailing address
5850 Granite Pkwy Ste 600Plano, TX 75024-6753
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