Most Relevant Information
Provider Data
NPI Number: | 1003483801 |
Provider Name: | SERGIO ARIEL GONZALEZ |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: | RBT-21-165002 |
Most Important Dates
Enumeration Date: | 06/09/2021 |
Last Updated: | 06/09/2021 |
Provider Practice Location
17780 NW 67TH AVE APT 1023
HIALEAH
FL
330155881
Practice Location Phone/Fax
Phone: | 7867043145 |
Fax: |
Provider Mailing Location
17780 NW 67TH AVE APT 1023
HIALEAH
FL
330155881
Provider Mailing Phone/Fax
Phone: | 7867043145 |
Fax: |