Individual
MICHELLE LEE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ITDS
Contact information
Practice address
1660 RENAISSANCE COMMONS BLVD APT 2226, BOYNTON BEACH, FL 33426-7221
(646) 938-6498
Mailing address
1660 RENAISSANCE COMMONS BLVD APT 2226, BOYNTON BEACH, FL 33426-7221
(646) 938-6498
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
09/06/2018
Last updated
10/07/2025
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