Individual
ALEXANDER GOMEZ MONTANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20137 SW 129TH CT, MIAMI, FL 33177-6188
(786) 973-2202
Mailing address
20137 SW 129TH CT, MIAMI, FL 33177-6188
(786) 973-2202
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT20-116921
FL
Other
Enumeration date
03/07/2017
Last updated
08/10/2021
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