Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | ||
N | 106E00000X | Assistant Behavior Analyst |
NPI | 1073057212 |
---|---|
Provider Name | Maritza Gonzalez |
First Address | Hialeah, FL 33012-4863 |
Second Address | Hialeah, FL 33012-4863 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2016 |
Last Update Date | 07/12/2016 |