Healthcare Provider Details

I. General information

NPI: 1831703974
Provider Name (Legal Business Name): DAYLIN GONZALEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2020
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

931 VILLAGE BLVD STE 905-358
WEST PALM BEACH FL
33409-1803
US

IV. Provider business mailing address

2200 SPRINGDALE BLVD APT L202
PALM SPRINGS FL
33461-6306
US

V. Phone/Fax

Practice location:
  • Phone: 855-832-6727
  • Fax:
Mailing address:
  • Phone: 561-971-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number20-1941-252575
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: