Individual
YOSLEIDY RODRIGUEZ GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 TRAVIS RD, WEST PALM BEACH, FL 33406-5205
(561) 628-5710
Mailing address
1900 TRAVIS RD, WEST PALM BEACH, FL 33406-5205
(561) 628-5710
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-20-11563
FL
106S00000X
Behavior Technician
RBT-19-77995
FL
Other
Enumeration date
05/16/2019
Last updated
12/08/2020
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