Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst |
NPI | 1043971302 |
---|---|
Provider Name | Nancy V Gonzalez-Villatoro |
First Address | Corona, CA 92879-1387 |
Second Address | Corona, CA 92879-1387 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2022 |
Last Update Date | 07/01/2022 |