Individual
RAYMOND GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18797 NW 78TH PL, HIALEAH, FL 33015-2768
(305) 409-7150
Mailing address
18797 NW 78TH PL, HIALEAH, FL 33015-2768
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY9443
FL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/19/2021
Last updated
11/22/2024
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