Individual
IRIALIS GONZALEZ GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6261 W FLAGLER ST APT 22, MIAMI, FL 33144-3024
(786) 487-2788
Mailing address
6261 W FLAGLER ST APT 22, MIAMI, FL 33144-3024
(786) 487-2788
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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