Juan C Gonzalez Ibarra
Behavior Technician
800 Ne 12th Ave Apt# C214
Homestead
, Florida 33030
Juan C Gonzalez Ibarra
Behavior Technician
800 Ne 12th Ave Apt# C214
Homestead
, Florida 33030
(786) 691-0896
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About
Features
Specialties
- Behavior Technician
Languages spoken
- English
Location
First Address
- Juan C Gonzalez Ibarra
- 800 Ne 12th Ave Apt C214
- Homestead, FL
- Zip : 33030-5005
- Phone : (786) 691-0896
Second Address
- Juan C Gonzalez Ibarra
- 800 Ne 12th Ave Apt# C214
- Homestead, FL
- Zip : 33030
- Phone : (786) 691-0896
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician |
National Provider Identifier
| NPI | 1003332073 |
|---|---|
| Provider Name | Juan C Gonzalez Ibarra |
| First Address | Homestead, FL 33030-5005 |
| Second Address | Homestead, FL 33030 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/08/2017 |
| Last Update Date | 21/08/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.