Individual
AILEMA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21531 SW 129TH CT, MIAMI, FL 33177-7452
(786) 724-6410
Mailing address
21531 SW 129TH CT, MIAMI, FL 33177-7452
(786) 724-6410
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-204789
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-22-204879
BACB FLORIDA
FL
Enumeration date
03/07/2022
Last updated
03/07/2022
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