Individual
ANA LAURA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
620 E 32ND ST, HIALEAH, FL 33013-3345
(305) 804-6938
Mailing address
620 E 32ND ST, HIALEAH, FL 33013-3345
(305) 804-6938
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB571002
FL
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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