Alfonso Gonzalez, Jessica

Alfonso Gonzalez, Jessica is an sole proprietor health care provider with primary practice located at 9231 Nw 114Th St Apt 9 , Hialeah FL 33018-4312. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Alfonso Gonzalez, Jessica can be contacted via phone (786) 263-3110.

Contact Information

Primary practice address
9231 Nw 114Th St Apt 9 Hialeah FL 33018-4312
Phone: (786) 263-3110
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X Florida
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-19-96788 Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-23-68772 Florida

Profile Details

NPI number 1699311985
LBN Legal business name Alfonso Gonzalez, Jessica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2019
Last updated May 19th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699311985 NPPES
Florida MEDICAID 104557600

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