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Ailyn Gonzalez

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

NPI number1164055448
StatusActive
Last updated in NPPESMar 15, 2021

Details

NPI
1164055448
Entity type
Individual (NPI-1)
Name
Ailyn Gonzalez
Sex
Female
Sole proprietor
No
Enumeration date
Feb 14, 2020
Certification date
Mar 15, 2021
Last updated
Mar 15, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes
106S00000X Behavior Technician20113137–

Practice location

3831 W Vine Street
60
Kissimmee, FL 34741-5061

Phone 305-332-5551

Mailing address

4100 Winston Court, Apt 101
Kissimmee, FL 34741-5061

Phone 305-332-5551

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