Individual
AIBLYS GONZALEZ MORATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19419 NW 53RD PL, MIAMI GARDENS, FL 33055-1613
(305) 562-2095
Mailing address
19419 NW 53RD PL, MIAMI GARDENS, FL 33055-1613
(305) 562-2095
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107172700
—
FL
Enumeration date
11/23/2021
Last updated
11/23/2021
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