Individual
AIRAYMYS GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 S ROYAL POINCIANA BLVD APT 206, MIAMI SPRINGS, FL 33166-7362
(786) 501-3651
Mailing address
801 S ROYAL POINCIANA BLVD APT 206, MIAMI SPRINGS, FL 33166-7362
(786) 501-3651
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-123867
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BACB587727
—
FL
Enumeration date
08/05/2020
Last updated
08/05/2020
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