Individual
ELIZABETH CONDE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3301 SW 114TH CT, MIAMI, FL 33165-3329
(786) 816-2460
Mailing address
3301 SW 114TH CT, MIAMI, FL 33165-3329
(786) 816-2460
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-23-14868
FL
106S00000X
Behavior Technician
RBT-21-150372
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-21-150372
BACB
FL
Enumeration date
02/10/2021
Last updated
01/31/2024
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