Individual
ALEXIS GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9600 NW 25TH ST, DORAL, FL 33172-1416
(305) 597-3861
(305) 597-3863
Mailing address
9600 NW 25TH ST, DORAL, FL 33172-1416
(305) 597-3861
(305) 597-3863
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-20-126985
FL
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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