Individual
MARLENE G GONCALVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8350 NW 10TH ST APT 2E, MIAMI, FL 33126-2721
(786) 325-5465
Mailing address
8350 NW 10TH ST APT 2E, MIAMI, FL 33126-2721
(786) 325-5465
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-25-15998
FL
106S00000X
Behavior Technician
—
FL
374700000X
Technician
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0-25-15998
—
FL
05
—
RBT-19-76811
—
FL
Enumeration date
05/23/2019
Last updated
03/26/2026
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