Organization
ATHENA BEHAVIOR CONSULT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRISSEL ALFONSO GONZALEZ (OWNER)
(239) 703-3502
Entity
Organization
Contact information
Practice address
1219 SE 34TH ST, CAPE CORAL, FL 33904-4291
(239) 703-3502
(844) 640-0724
Mailing address
1219 SE 34TH ST, CAPE CORAL, FL 33904-4291
(239) 703-3502
(844) 640-0724
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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