Gonzalez, Lazara Juliet
Gonzalez, Lazara Juliet is an individual health care provider with primary practice located at 1820 Armstrong Blvd , Kissimmee FL 34741-2589. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Gonzalez, Lazara Juliet can be contacted via phone (407) 852-3300.Contact Information
Primary practice address
1820 Armstrong Blvd
Kissimmee FL 34741-2589
Phone: (407) 852-3300
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
Behavioral Health & Social Service Providers / Counseling | 103TC1900X |
Profile Details
NPI number | 1578078051 |
---|---|
LBN Legal business name | Gonzalez, Lazara Juliet |
Credentials | RBT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 6th, 2017 |
Last updated | May 8th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578078051 | NPPES |
Florida | MEDICAID | 019556300 |
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