Individual
ANA LIE CASTILLO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
360 HIALEAH DR, HIALEAH, FL 33010-5221
(305) 721-8792
Mailing address
360 HIALEAH DR, HIALEAH, FL 33010-5221
(305) 721-8792
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-429871
FL
Other
Enumeration date
04/19/2025
Last updated
04/19/2025
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