Most Relevant Information
Provider Data
| NPI Number: | 1003639642 |
| Provider Name: | LETICIA GONZALEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/04/2024 |
| Last Updated: | 11/04/2024 |
Provider Practice Location
810 N JOHN YOUNG PKWY
KISSIMMEE
FL
347414912
Practice Location Phone/Fax
| Phone: | 4075017960 |
| Fax: |
Provider Mailing Location
856 JEFFERSON BLVD
HAINES CITY
FL
338446428
Provider Mailing Phone/Fax
| Phone: | 3212859010 |
| Fax: |