Individual
BELKIS LARA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27022 SW 138TH AVE APT A, HOMESTEAD, FL 33032
(786) 626-5119
Mailing address
27022 SW 138TH AVE APT A, HOMESTEAD, FL 33032-8050
(786) 626-5119
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BCBA12045036
FL
106S00000X
Behavior Technician
RBT1856548
FL
Other
Enumeration date
05/23/2017
Last updated
11/03/2020
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