Individual
AIME GOMEZ PORTALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7160 FAIRWAY DR APT J13, MIAMI LAKES, FL 33014-6958
(786) 675-2839
Mailing address
7160 FAIRWAY DR APT J13, MIAMI LAKES, FL 33014-6958
(786) 675-2839
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-135827
FL
374U00000X
Home Health Aide
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116130800
—
FL
05
—
2000
—
FL
Enumeration date
09/14/2022
Last updated
03/16/2026
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