Provider Demographics
NPI:1184471633
Name:GONZALEZ ZURBITU, PATRICIA (RBT)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:GONZALEZ ZURBITU
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 1:19900 NW 37TH AVE LOT D105
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33056-1717
Mailing Address - Country:US
Mailing Address - Phone:786-856-2196
Mailing Address - Fax:
Practice Address - Street 1:19900 NW 37TH AVE LOT D105
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33056-1717
Practice Address - Country:US
Practice Address - Phone:786-856-2196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty