Individual
ALYSSA GISELE HORTA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6420 NW 25TH CT, SUNRISE, FL 33313-2155
(787) 671-2621
Mailing address
6420 NW 25TH CT, SUNRISE, FL 33313-2155
(787) 671-2621
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-226267
FL
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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