Gonzalez Lopez, Osvaldo

Gonzalez Lopez, Osvaldo is an sole proprietor health care provider with primary practice located at 15819 Nw 4Th St , Pembroke Pines FL 33028-1593. He recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as his primary health care specialty. Gonzalez Lopez, Osvaldo can be contacted via phone (305) 987-1377.

Contact Information

Primary practice address
15819 Nw 4Th St Pembroke Pines FL 33028-1593
Phone: (305) 987-1377
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 19-9923 Florida

Profile Details

NPI number 1558833822
LBN Legal business name Gonzalez Lopez, Osvaldo
Credentials BCABA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 26th, 2018
Last updated Dec 20th, 2019 - about 5 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 1558833822 NPPES
Florida MEDICAID 023554800

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