Samantha Gonzalez
Behavior Technician in Doral, FL. Individual provider (NPI-1).
NPI number1982106829
StatusActive
Last updated in NPPESMar 7, 2018
Details
- NPI
- 1982106829
- Entity type
- Individual (NPI-1)
- Name
- Samantha Gonzalez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 7, 2018
- Last updated
- Mar 7, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | FL | Yes |
Practice location
3450 Nw 85th Ct Apt 638Doral, FL 33122-1956
Phone 786-597-4492
Mailing address
3450 Nw 85th Ct Apt 638Doral, FL 33122-1956
Phone 786-597-4492
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