Individual
JEINY D GARCIA GONZALEZ SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 LAKE AVE, LEHIGH ACRE, FL 33936
(239) 321-4924
Mailing address
215 LAKE AVENUE, LEHIGH ACRE, FL 33936
(239) 321-4924
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-24-15588
FL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/09/2023
Last updated
10/29/2024
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