Martha Gonzalez

NPI #1083062673 in Miramar, Florida

Provider Information

NPI Number: 1083062673
Entity Type: Individual
Name: Martha Gonzalez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: May 24, 2016
Last Updated: Apr 19, 2018

Practice Location

Address: 11201 SW 55TH ST UNIT 425
City: Miramar
State: Florida
ZIP Code: 33025-3133
Phone: (786) 319-0859

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X
Behavior Technician	106S00000X	Primary

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