Individual
ALICIA GONZALEZ AMADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6504 COCONUT DR, MIRAMAR, FL 33023-4984
(305) 570-9334
Mailing address
6504 COCONUT DR, MIRAMAR, FL 33023-4984
(305) 570-9334
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-228283
FL
Other
Enumeration date
10/04/2022
Last updated
05/24/2024
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