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Ismary Gonzalez

Behavior Technician in Miami Lakes, FL. Individual provider (NPI-1).

NPI number1164048641
StatusActive
Last updated in NPPESApr 1, 2025

Details

NPI
1164048641
Entity type
Individual (NPI-1)
Name
Ismary Gonzalez
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 22, 2020
Certification date
Apr 1, 2025
Last updated
Apr 1, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician20200521FLYes

Practice location

8792 Nw 167th St
Miami Lakes, FL 33018-6117

Phone 305-331-1036

Mailing address

8792 Nw 167th St
Miami Lakes, FL 33018-6117

Phone 305-331-1036

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