Individual
ADANA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1373 OVERLEA DR, DUNEDIN, FL 34698-4748
(407) 272-5822
Mailing address
411 BLACK SPRINGS LN, WINTER GARDEN, FL 34787-6548
(407) 272-5822
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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