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Edith Gonzalez Cervantes

Behavior Technician in Chula Vista, CA. Individual provider (NPI-1).

NPI number1841982972
StatusActive
Last updated in NPPESJun 5, 2023

Details

NPI
1841982972
Entity type
Individual (NPI-1)
Name
Edith Gonzalez Cervantes
Sex
Female
Sole proprietor
No
Enumeration date
May 25, 2023
Certification date
Jun 5, 2023
Last updated
Jun 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

274 5th Ave
Chula Vista, CA 91910-2441

Phone 619-874-9775

Mailing address

274 5th Ave
Chula Vista, CA 91910-2441

Phone 619-874-9775

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