Maria De Los Angelez Gonzalez Roque, RBT
Behavior Technician in Miami Gardens, FL. Individual provider (NPI-1).
NPI number1114686367
StatusActive
Last updated in NPPESDec 15, 2021
Details
- NPI
- 1114686367
- Entity type
- Individual (NPI-1)
- Name
- Maria De Los Angelez Gonzalez Roque
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 15, 2021
- Certification date
- Dec 15, 2021
- Last updated
- Dec 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-20-138894 | FL | Yes |
Practice location
17201 Nw 48th CtMiami Gardens, FL 33055-4222
Phone 786-617-4963
Mailing address
17201 Nw 48th CtMiami Gardens, FL 33055-4222
Phone 786-617-4963
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