Bryan J Vila-Gonzalez
Behavior Technician in Miami, FL. Individual provider (NPI-1).
NPI number1982431433
StatusActive
Last updated in NPPESSep 18, 2024
Details
- NPI
- 1982431433
- Entity type
- Individual (NPI-1)
- Name
- Bryan J Vila-Gonzalez
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 18, 2024
- Certification date
- Sep 18, 2024
- Last updated
- Sep 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
10024 Sw 162nd PlMiami, FL 33196-5907
Phone 305-496-9917
Mailing address
10024 Sw 162nd PlMiami, FL 33196-5907
Phone 305-496-9917
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