Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician |
NPI | 1003417270 |
---|---|
Provider Name | Yoel Gonzalez Coto |
First Address | Hialeah, FL 33018-5046 |
Second Address | Hialeah, FL 33018-5046 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2020 |
Last Update Date | 04/11/2020 |