Individual
AMALIA TUYAS GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11922 FAIRWAY LAKES DR STE 2, FORT MYERS, FL 33913-8384
(239) 219-3409
Mailing address
214 SW 34TH TER, CAPE CORAL, FL 33914-5034
(239) 321-9653
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-365-79
FL
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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