Individual
AINEL GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12515 SW 185TH ST, MIAMI, FL 33177-3177
(786) 312-4523
Mailing address
12515 SW 185TH ST, MIAMI, FL 33177-3177
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-86854
FL
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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