Individual
MS. DANIELLE MARIE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 ALABAMA AVE, JACKSONVILLE, FL 32218-2677
(904) 420-2304
(904) 508-0173
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(407) 915-7729
(407) 588-6294
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-66950
FL
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-20-122271
BACB
—
Enumeration date
06/05/2020
Last updated
08/08/2023
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