Individual
CHRISOPHER GONZALEZ DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
18646 NW 53RD AVE, MIAMI GARDENS, FL 33055-5307
(305) 680-6417
Mailing address
18646 NW 53RD AVE, MIAMI GARDENS, FL 33055-5307
(305) 680-6417
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-20-136830
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1085698000
—
FL
Enumeration date
02/11/2022
Last updated
02/11/2022
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