Individual provider · NPI-1
Wanda Merab De Freitas Gonzalez
Behavior Analyst · Hewlett, NY
NPI number1114569266
StatusActive
Last updated in NPPESJul 29, 2026
Details
- NPI
- 1114569266
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Wanda Merab De Freitas Gonzalez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 10, 2019
- Certification date
- Jul 29, 2026
- Last updated
- Jul 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
1295 BroadwayHewlett, NY 11557-2015
Phone 833-624-6385
Mailing address
321 Fortune BlvdMilford, MA 01757-1750
Phone 508-478-0207
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