Individual
BARBARA GORRA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18049 NW 74TH CT, HIALEAH, FL 33015-8454
(786) 316-2008
Mailing address
18049 NW 74TH CT, HIALEAH, FL 33015-8454
(786) 316-2008
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-55634
FL
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-21-55634
BACB
FL
Enumeration date
05/11/2017
Last updated
05/23/2023
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