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NPI Code Detail

MEDICARE: ARIANNA GONZALEZ

MEDICARE: ARIANNA GONZALEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1821951849
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIANNA GONZALEZ
Provider Business Mailing Address
First Line : 2248 S MICHIGAN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60616-5258
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2248 S MICHIGAN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60616-5258
Country : US
Telephone Number : 312-672-1165
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2025
Last Update Date : 12/05/2025

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Directions to “ ARIANNA GONZALEZ ” Practice Location

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