Healthcare Provider Details

I. General information

NPI: 1821548553
Provider Name (Legal Business Name): CHRISTINA GONZALES RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTINA PARRA

II. Dates (important events)

Enumeration Date: 10/05/2016
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1213 HACHITA DR
LAS CRUCES NM
88012-6262
US

IV. Provider business mailing address

1213 HACHITA DR
LAS CRUCES NM
88012-6262
US

V. Phone/Fax

Practice location:
  • Phone: 575-635-9481
  • Fax:
Mailing address:
  • Phone: 575-635-9481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: