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Individual

AMANDA M GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2010 NW 120TH TER, PEMBROKE PINES, FL 33026-1937
(786) 897-1940
Mailing address
2010 NW 120TH TER, PEMBROKE PINES, FL 33026-1937
(786) 897-1940

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
23316376
FL
106S00000X
Behavior Technician
Primary
23316376
FL

Other

Enumeration date
06/18/2024
Last updated
03/24/2026
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