Provider Demographics
NPI:1457892010
Name:GONZALEZ PADILLA, CARIDAD MARELY (RBT)
Entity Type:Individual
Prefix:
First Name:CARIDAD
Middle Name:MARELY
Last Name:GONZALEZ PADILLA
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 1:10030 SW 224TH ST APT 203
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33190-1193
Mailing Address - Country:US
Mailing Address - Phone:305-431-2063
Mailing Address - Fax:
Practice Address - Street 1:10030 SW 224TH ST APT 203
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33190-1193
Practice Address - Country:US
Practice Address - Phone:305-431-2063
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-15
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
RBT-19-101791OtherBEHAVIOR ANALYST CERTIFICATION BOARD
RBT-19-101791OtherBEHAVIOR ANALYST CERTIFICATION BOARD