Yadisleidys Gongora

NPI #1932819844 in Lehigh Acres, Florida

Provider Information

NPI Number: 1932819844
Entity Type: Individual
Name: Yadisleidys Gongora
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 1, 2022
Last Updated: Dec 1, 2022

Practice Location

Address: 3616 8TH ST SW
City: Lehigh Acres
State: Florida
ZIP Code: 33976-2419
Phone: (239) 294-0901

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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