Provider Demographics
NPI:1720744790
Name:GONZALEZ-ARELLANO, DEBORAH CATALINA
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:CATALINA
Last Name:GONZALEZ-ARELLANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 OLD GILROY ST
Mailing Address - Street 2:
Mailing Address - City:GILROY
Mailing Address - State:CA
Mailing Address - Zip Code:95020-6917
Mailing Address - Country:US
Mailing Address - Phone:408-612-7385
Mailing Address - Fax:
Practice Address - Street 1:325 OLD GILROY ST
Practice Address - Street 2:
Practice Address - City:GILROY
Practice Address - State:CA
Practice Address - Zip Code:95020-6917
Practice Address - Country:US
Practice Address - Phone:408-612-7385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-12
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician