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NPI Code Detail

MEDICARE: CORINA GONZALES RBT

MEDICARE:   CORINA  GONZALES  RBT
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1588518658
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORINA GONZALES RBT
Provider Business Mailing Address
First Line : PO BOX 2
Second Line :
City : RIO FRIO
State : TX
Zip : 78879-0002
Country : US
Telephone Number : 830-272-5677
Fax Number :
Provider Business Practice Location Address
First Line : 714 E MAIN ST
Second Line :
City : UVALDE
State : TX
Zip : 78801-5719
Country : US
Telephone Number : 830-272-5677
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2026
Last Update Date : 02/24/2026

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Directions to “ CORINA GONZALES RBT” Practice Location

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