Most Relevant Information
Provider Data
| NPI Number: | 1003670035 |
| Provider Name: | WENDYS RAMIREZ GONZALEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | 24325822 |
Most Important Dates
| Enumeration Date: | 02/09/2024 |
| Last Updated: | 02/09/2024 |
Provider Practice Location
5332 W 23RD AVE
HIALEAH
FL
330162021
Practice Location Phone/Fax
| Phone: | 3054396420 |
| Fax: |
Provider Mailing Location
5332 W 23RD AVE
HIALEAH
FL
330162021
Provider Mailing Phone/Fax
| Phone: | 3054396420 |
| Fax: |