Gonzalez, Lazara Juliet

Gonzalez, Lazara Juliet is an individual health care provider with primary practice located at 1820 Armstrong Blvd , Kissimmee FL 34741-2589. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Gonzalez, Lazara Juliet can be contacted via phone (407) 852-3300.

Contact Information

Primary practice address
1820 Armstrong Blvd Kissimmee FL 34741-2589
Phone: (407) 852-3300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Counseling 103TC1900X

Profile Details

NPI number 1578078051
LBN Legal business name Gonzalez, Lazara Juliet
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2017
Last updated May 8th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578078051 NPPES
Florida MEDICAID 019556300

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