Individual
KETTY GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
581 SE 5TH ST, HIALEAH, FL 33010-5328
(786) 901-9210
Mailing address
581 SE 5TH ST, HIALEAH, FL 33010-5328
(786) 901-9210
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
15-01728
FL
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/03/2016
Last updated
05/11/2026
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