Gonzalez, Juan Carlos

Gonzalez, Juan Carlos is an sole proprietor health care provider with primary practice located at 12312 Nw 98Th Ct , Hialeah Gardens FL 33018-2959. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Gonzalez, Juan Carlos can be contacted via phone (786) 482-1049.

Contact Information

Primary practice address
12312 Nw 98Th Ct Hialeah Gardens FL 33018-2959
Phone: (786) 482-1049
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-17-7655 Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-21-48525 Florida

Profile Details

NPI number 1851727911
LBN Legal business name Gonzalez, Juan Carlos
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2013
Last updated Apr 5th, 2021 - about 3 years 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 1851727911 NPPES
Florida MEDICAID 018401500

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