Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician |
NPI | 1003322611 |
---|---|
Provider Name | Olinda Guilarte Gonzalez |
First Address | Hialeah, FL 33010-1456 |
Second Address | Hialeah, FL 33010-1456 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2017 |
Last Update Date | 19/12/2017 |