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: |