Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-21-48164 | CO |
N | 106E00000X | Assistant Behavior Analyst | 0-18-8690 | CO |
NPI | 1053863076 |
---|---|
Provider Name | Kirenia Romero Gonzalez |
First Address | Miami Lakes, FL 33018-6302 |
Second Address | Miami Lakes, FL 33018-6302 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2016 |
Last Update Date | 23/09/2021 |