Jennifer Gonzalez
Behavior Technician in Miami, FL. Individual provider (NPI-1).
NPI number1144934407
StatusActive
Last updated in NPPESSep 22, 2023
Details
- NPI
- 1144934407
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Gonzalez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 11, 2023
- Certification date
- Sep 22, 2023
- Last updated
- Sep 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-22-244494 | FL | Yes |
Practice location
3285 Nw 103rd StMiami, FL 33147-1571
Phone 786-966-1333
Mailing address
3285 Nw 103rd StMiami, FL 33147-1571
Phone 786-966-1333
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