Individual
AMELIA GOMEZ GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
238 SE PARK ST # 3, DANIA BEACH, FL 33004-3712
(954) 708-8758
Mailing address
238 SE PARK ST # 3, DANIA BEACH, FL 33004-3712
(954) 708-8758
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45828
FL
Other
Enumeration date
03/30/2018
Last updated
11/18/2020
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