Most Relevant Information
Provider Data
| NPI Number: | 1003651720 |
| Provider Name: | LISSY GONZALEZ VIERA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | 23-302116 |
Most Important Dates
| Enumeration Date: | 06/25/2024 |
| Last Updated: | 06/25/2024 |
Provider Practice Location
19740 SW 103RD CT APT 201
CUTLER BAY
FL
331578568
Practice Location Phone/Fax
| Phone: | 3052813445 |
| Fax: |
Provider Mailing Location
19740 SW 103RD CT APT 201
CUTLER BAY
FL
331578568
Provider Mailing Phone/Fax
| Phone: | 3052813445 |
| Fax: |