Individual
ANA YULIAGNY GONZALEZ DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
914 E KNIGHTS GRIFFIN RD, PLANT CITY, FL 33565-2400
(813) 730-2568
Mailing address
914 E KNIGHTS GRIFFIN RD, PLANT CITY, FL 33565-2400
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-366200
FL
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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