Mary Fernanda Gonzalez Fonseca, RBT-25-411073

NPI #1013713619 in Lakeland, Florida

Provider Information

NPI Number: 1013713619
Entity Type: Individual
Name: Mary Fernanda Gonzalez Fonseca, RBT-25-411073
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: RBT-25-411073
Enumeration Date: Feb 24, 2025
Last Updated: Mar 29, 2025

Practice Location

Address: 1305 SKOWHEGAN AVE
City: Lakeland
State: Florida
ZIP Code: 33805-3965
Phone: (813) 863-6774

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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