Individual
ADIALEP GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6115 STIRLING RD STE 208, DAVIE, FL 33314-7240
(786) 597-1343
Mailing address
6115 STIRLING RD STE 208, DAVIE, FL 33314-7240
(786) 597-1343
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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