Individual
ANA LAURA GONZALEZ ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7504 W ELLICOTT ST, TAMPA, FL 33615-4714
(813) 340-1512
Mailing address
7504 W ELLICOTT ST, TAMPA, FL 33615-4714
(813) 340-1512
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24-319962
FL
Other
Enumeration date
03/21/2024
Last updated
08/07/2025
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