Provider Demographics
NPI:1467977975
Name:GONZALEZ, BARBARA (RBT)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18601 NW 47TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33055-2508
Mailing Address - Country:US
Mailing Address - Phone:786-660-1007
Mailing Address - Fax:
Practice Address - Street 1:1550 MADRUGA AVE STE 312
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-3070
Practice Address - Country:US
Practice Address - Phone:786-467-7006
Practice Address - Fax:786-999-0971
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-04
Last Update Date:2017-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services