Individual
DAMILY GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
5270 NW 2ND TER, MIAMI, FL 33126-5028
(786) 348-7202
Mailing address
5270 NW 2ND TER, MIAMI, FL 33126-5028
(786) 348-7202
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
20-122981
FL
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020550700
—
FL
Enumeration date
06/19/2018
Last updated
10/14/2021
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