Gisela Gonzalez Diaz
Behavior Technician in Miami, FL. Individual provider (NPI-1).
NPI number1801410071
StatusActive
Last updated in NPPESJun 3, 2020
Details
- NPI
- 1801410071
- Entity type
- Individual (NPI-1)
- Name
- Gisela Gonzalez Diaz
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 3, 2020
- Certification date
- Jun 3, 2020
- Last updated
- Jun 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-20-119736 | FL | Yes |
Practice location
13525 Sw 63rd LnMiami, FL 33183-5006
Phone 786-942-3076
Mailing address
13525 Sw 63rd LnMiami, FL 33183-5006
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