Individual
AILYN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3831 W VINE STREET, 60, KISSIMMEE, FL 34741-5061
(305) 332-5551
Mailing address
4100 WINSTON COURT, APT 101, KISSIMMEE, FL 34741-5061
(305) 332-5551
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
20113137
—
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104640500
—
FL
01
—
20113137
RBT CERTIFICATION NUMBER
FL
Enumeration date
02/14/2020
Last updated
03/15/2021
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