Individual
ALYSSA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10300 SW 72ND ST STE 114, MIAMI, FL 33173-3038
(305) 508-5580
Mailing address
11060 N KENDALL DR, MIAMI, FL 33176-1272
(305) 668-8644
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-52852
FL
106S00000X
Behavior Technician
—
FL
Other
Enumeration date
01/31/2018
Last updated
08/01/2019
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