Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-21-55922 | FL |
N | 106E00000X | Assistant Behavior Analyst | 0-19-9700 | FL |
N | 106S00000X | Behavior Technician | RBT-18-55744 | FL |
NPI | 1053877233 |
---|---|
Provider Name | Yudit Gonzalez |
First Address | Hialeah, FL 33010-5719 |
Second Address | Hialeah, FL 33010-5719 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2019 |
Last Update Date | 01/12/2021 |