Individual
AMY LYNN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 FAIRWAY DR STE 102, DEERFIELD BCH, FL 33441-1817
(888) 880-9270
Mailing address
5414 CHEMISTRY RD STE 102, RALEIGH, NC 27603-5292
(919) 449-8919
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CERTIFICATION
NC
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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