Gonzales, Andrea

Gonzales, Andrea is an sole proprietor health care provider with primary practice located at 6763 Us 64 , Bloomfield NM 87413-9564. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Gonzales, Andrea can be contacted via phone (505) 716-7241.

Contact Information

Primary practice address
6763 Us 64 Bloomfield NM 87413-9564
Phone: (505) 716-7241
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1649866229
LBN Legal business name Gonzales, Andrea
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2020
Last updated Dec 17th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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