Most Relevant Information
Provider Data
| NPI Number: | 1003267139 |
| Provider Name: | YADILUX GONZALEZ CANCIO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-20-117673 |
Most Important Dates
| Enumeration Date: | 06/30/2016 |
| Last Updated: | 05/15/2023 |
Provider Practice Location
8230 NW 178TH ST
HIALEAH
FL
330153652
Practice Location Phone/Fax
| Phone: | 7867201696 |
| Fax: |
Provider Mailing Location
8230 NW 178TH ST
HIALEAH
FL
330153652
Provider Mailing Phone/Fax
| Phone: | 7867201696 |
| Fax: |