Brandon Gonzalez
Behavior Technician in Miami, FL. Individual provider (NPI-1).
NPI number1417535311
StatusActive
Last updated in NPPESMar 31, 2021
Details
- NPI
- 1417535311
- Entity type
- Individual (NPI-1)
- Name
- Brandon Gonzalez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2021
- Certification date
- Mar 31, 2021
- Last updated
- Mar 31, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
15152 Sw 143rd AveMiami, FL 33186-5618
Phone 786-817-8335
Mailing address
15152 Sw 143rd AveMiami, FL 33186-5618
Phone 786-817-8335
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