Individual
ANNIE MENA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5400 S UNIVERSITY DR STE 502, DAVIE, FL 33328-5313
(888) 754-0398
(954) 577-7790
Mailing address
2100 SW 8TH ST APT 612, MIAMI, FL 33135-3599
(720) 969-2770
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-25-81945
BCBA
—
Enumeration date
11/30/2018
Last updated
07/09/2025
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