Individual
ANA O FUMERO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20862 SW 121ST AVE, MIAMI, FL 33177-5347
(786) 636-4628
Mailing address
20862 SW 121ST AVE, MIAMI, FL 33177-5347
(786) 636-4628
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-395840
FL
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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