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General NPI Number Information
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NPI Number | 1124766209
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Entity Type | Individual
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Provider Name | HECTOR GONZALEZ JR. BCBA
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Gender | Male
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Dates
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Enumeration Date | 05/26/2022
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 410 S 4TH ST
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City | EL CENTRO
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State | CA
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Zip | 92243-3009
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Country | US
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Telephone | 619-691-1880
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Fax | 619-427-7607
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Provider Business Mailing Address
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Address Line | 282 LANDIS AVE
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City | CHULA VISTA
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State | CA
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Zip | 91910-2627
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Country | US
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Telephone | 619-691-1880
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Fax | 619-427-7607
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 0-22-13700
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-25-79264
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License Number State | CA
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