Individual
CARLOS A GONZALEZ CICILIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
13910 SW 268TH ST APT 107, HOMESTEAD, FL 33032-9205
(786) 259-4347
Mailing address
11485 SW VILLAGE PKWY APT 207, PORT SAINT LUCIE, FL 34987-2674
(786) 259-4347
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BCBA1-26-2827662
FL
106S00000X
Behavior Technician
RBT-18-64037
FL
Other
Enumeration date
07/30/2019
Last updated
07/07/2026
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