Individual
ALINA GONGORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6458 EMERALD DUNES DR, WEST PALM BEACH, FL 33411-2756
(786) 201-4360
Mailing address
6458 EMERALD DUNES DR, WEST PALM BEACH, FL 33411-2756
(786) 201-4360
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
20-147789
FL
Other
Enumeration date
04/15/2021
Last updated
08/01/2024
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