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510 E 45th St Hialeah FL 33013-1920 | |
| (305) 733-5918 | |
| (305) 882-8119 |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 510 E 45th St, Hialeah, Florida |
| Authorized Official Name and Position | Angela Maria Gonzalez (OWNER/BEHAVIOR ANALYST) |
| Authorized Official Contact | 3057335918 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
510 E 45th St Hialeah FL 33013-1920 Ph: (305) 733-5918 | 510 E 45th St Hialeah FL 33013-1920 Ph: (305) 733-5918 |
| NPI Number | 1033342381 |
|---|---|
| Provider Enumeration Date | 09/02/2009 |
| Last Update Date | 01/31/2025 |
| Certification Date | 01/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033342381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
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