DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MRS. MARISELA GONZALES I

MEDICARE: MRS. MARISELA GONZALES I
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
1222Q00000XDevelopmental TherapistNV
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1003195421
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARISELA GONZALES I
Provider Business Mailing Address
First Line : 5575 SIMMONS ST
Second Line : #1-363
City : NORTH LAS VEGAS
State : NV
Zip : 89031-9009
Country : US
Telephone Number : 702-202-2567
Fax Number :
Provider Business Practice Location Address
First Line : 2535 W CHEYENNE AVE
Second Line : #104
City : NORTH LAS VEGAS
State : NV
Zip : 89032-8929
Country : US
Telephone Number : 702-202-2567
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2011
Last Update Date : 10/26/2015

Similar Medicare Providers

1417806399 — NIKITA COX
Practice Location Address:
2535 W CHEYENNE AVE
NORTH LAS VEGAS, NV
89032-8929
Practice Phone: 702-405-8088
Practice Fax:
1316228422 — ANGEL RIVAS
Practice Location Address:
2535 W CHEYENNE AVE , STE. 102
NORTH LAS VEGAS, NV
89032-8929
Practice Phone: 702-631-9275
Practice Fax: 702-631-9251
1255612354 — STEPHEN PIEHL
Practice Location Address:
2535 W CHEYENNE AVE , STE 102
NORTH LAS VEGAS, NV
89032-8929
Practice Phone: 702-631-9275
Practice Fax: 702-631-9251
1588945745 — ANNA PARATORE
Practice Location Address:
2535 W CHEYENNE AVE , STE. 102
NORTH LAS VEGAS, NV
89032-8929
Practice Phone: 702-631-9275
Practice Fax: 702-631-9251
1598046690 — LOGAN MASON
Practice Location Address:
2535 W CHEYENNE AVE , STE. 102
NORTH LAS VEGAS, NV
89032-8929
Practice Phone: 702-631-9275
Practice Fax: 702-631-9251
1326329301 — ROBERT WHITE
Practice Location Address:
2535 W CHEYENNE AVE , STE. 102
NORTH LAS VEGAS, NV
89032-8929
Practice Phone: 702-631-9275
Practice Fax: 702-631-9251

Directions to “ MRS. MARISELA GONZALES I ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.