Mary Laura Gonzalez I

NPI #1467966317 in Miramar, Florida

Provider Information

NPI Number: 1467966317
Entity Type: Individual
Name: Mary Laura Gonzalez I
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 29, 2017
Last Updated: Nov 29, 2017

Practice Location

Address: 3350 SW 148TH AVE STE 110
City: Miramar
State: Florida
ZIP Code: 33027-3237
Phone: (954) 734-2737

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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