Individual
ADIS YSABEL GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5421 SW 128TH AVE, MIAMI, FL 33175-6232
(786) 436-6857
Mailing address
5421 SW 128TH AVE, MIAMI, FL 33175-6232
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/22/2017
Last updated
10/05/2021
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