Provider Demographics
NPI:1447508247
Name:GONZALEZ, ANGELA MARIA (BCBA)
Entity type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:MARIA
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 E 45TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-1920
Mailing Address - Country:US
Mailing Address - Phone:305-733-5918
Mailing Address - Fax:305-882-8119
Practice Address - Street 1:510 E 45TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-1920
Practice Address - Country:US
Practice Address - Phone:305-733-5918
Practice Address - Fax:305-882-8119
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-28
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst