Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | 0-20-10897 | FL |
N | 106S00000X | Behavior Technician | RBT-16-23582 | FL |
NPI | 1154863355 |
---|---|
Provider Name | Brittany Gonzalez |
First Address | Kinard, FL 32449-2209 |
Second Address | Kinard, FL 32449-2209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2016 |
Last Update Date | 30/07/2021 |