Gonzalez, William

Gonzalez, William is an sole proprietor health care provider with primary practice located at 9775 Nw 123Rd Ter , Hialeah Gardens FL 33018-2950. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Gonzalez, William can be contacted via phone (305) 965-5912.

Contact Information

Primary practice address
9775 Nw 123Rd Ter Hialeah Gardens FL 33018-2950
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-21-151833 Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-24-70598 Florida

Profile Details

NPI number 1477148690
LBN Legal business name Gonzalez, William
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2021
Last updated Jan 9th, 2024 - about 10 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 1477148690 NPPES
Florida MEDICAID 109560200

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