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Individual
ANDY RIVAS GONZALEZ
Active
Individual
ANDY RIVAS GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-197411
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113883100
—
FL
Enumeration date
04/20/2022
Last updated
04/20/2022
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