Most Relevant Information
Provider Data
| NPI Number: | 1003659830 |
| Provider Name: | AMANDA M GONZALEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 23316376 |
Most Important Dates
| Enumeration Date: | 06/18/2024 |
| Last Updated: | 06/18/2024 |
Provider Practice Location
2010 NW 120TH TER
PEMBROKE PINES
FL
330261937
Practice Location Phone/Fax
| Phone: | 7868971940 |
| Fax: |
Provider Mailing Location
2010 NW 120TH TER
PEMBROKE PINES
FL
330261937
Provider Mailing Phone/Fax
| Phone: | 7868971940 |
| Fax: |