Individual
RANDY CONCEPCION GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S PSYCHOLOGY
Contact information
Practice address
12550 BISCAYNE BLVD STE 218, NORTH MIAMI, FL 33181-2501
(786) 614-3425
Mailing address
12665 NE 16TH AVE APT 7, NORTH MIAMI, FL 33161-5289
(786) 614-3425
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-24-387241
FL
171400000X
Health & Wellness Coach
Primary
—
—
174H00000X
Health Educator
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Enumeration date
12/10/2024
Last updated
07/20/2025
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