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Destiny Emily Gonzalez

Behavior Technician in Santa Clarita, CA. Individual provider (NPI-1).

NPI number1164095790
StatusActive
Last updated in NPPESJul 21, 2021

Details

NPI
1164095790
Entity type
Individual (NPI-1)
Name
Destiny Emily Gonzalez
Sex
Female
Sole proprietor
No
Enumeration date
Jul 21, 2021
Certification date
Jul 21, 2021
Last updated
Jul 21, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

23502 Lyons Ave Ste 304a
Santa Clarita, CA 91321-2538

Phone 661-702-0166

Mailing address

23502 Lyons Ave Ste 304a
Santa Clarita, CA 91321-2538

Phone 661-702-0166

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