Individual
YAMILET GONZALEZ SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6202 SOUTHSIDE DR, LOUISVILLE, KY 40214-2923
(812) 258-1972
Mailing address
6202 SOUTHSIDE DR, LOUISVILLE, KY 40214-2923
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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