Gonzalez, Jacqueline

Gonzalez, Jacqueline is an sole proprietor health care provider with primary practice located at 5420 Nw 33Rd Ave # 6 , Fort Lauderdale FL 33309-6348. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Gonzalez, Jacqueline can be contacted via phone (954) 271-2323.

Contact Information

Primary practice address
5420 Nw 33Rd Ave # 6 Fort Lauderdale FL 33309-6348
Phone: (954) 271-2323
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-21-53605 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Florida

Profile Details

NPI number 1114349198
LBN Legal business name Gonzalez, Jacqueline
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2014
Last updated Sep 29th, 2021 - about 5 years 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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