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NPI Code Detail

MEDICARE: DAVID ABRAHIM GONZALEZ

MEDICARE:   DAVID ABRAHIM 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 AnalystAZ

General Provider Information

NPI Number : 1881339034
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID ABRAHIM GONZALEZ
Provider Business Mailing Address
First Line : 21600 OXNARD ST STE 1800
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-7807
Country : US
Telephone Number : 818-345-2345
Fax Number : --
Provider Business Practice Location Address
First Line : 310 E MAGNOLIA ST UNIT 101
Second Line :
City : BELLINGHAM
State : WA
Zip : 98225-4580
Country : US
Telephone Number : 360-820-5835
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2022
Last Update Date : 05/13/2026

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Directions to “ DAVID ABRAHIM GONZALEZ ” Practice Location

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