Individual provider · NPI-1

Angelina Alfonso Gonzalez

Behavior Technician · Greenacres, FL

NPI number1013509488
StatusActive
Last updated in NPPESApr 9, 2026

Details

NPI
1013509488
Entity type
Individual (NPI-1)
Name
Angelina Alfonso Gonzalez
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 8, 2021
Certification date
Apr 9, 2026
Last updated
Apr 9, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-20-142899FLYes

Practice location

4208 Caesar Cir
Greenacres, FL 33463-4658

Phone 786-444-6593

Mailing address

4208 Caesar Cir
Greenacres, FL 33463-4658

Phone 786-444-6593

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