Gonzalez, Mayra A

Gonzalez, Mayra A is an individual health care provider with primary practice located at 255 E Rincon St Ste 219 , Corona CA 92879-1387. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Gonzalez, Mayra A can be contacted via phone (951) 817-5328.

Contact Information

Primary practice address
255 E Rincon St Ste 219 Corona CA 92879-1387
Phone: (951) 817-5328
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1760909972
LBN Legal business name Gonzalez, Mayra A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2017
Last updated Apr 21st, 2024 - about last year

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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