MEDICARE: MARICARMEN GONZALEZ HERNANDEZ RBT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-25-471935	TX

General Provider Information

NPI Number	:	1023983665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARICARMEN GONZALEZ HERNANDEZ RBT

Provider Business Mailing Address
First Line	:	1217 ARBOR ACRES LOOP
Second Line	:
City	:	LEANDER
State	:	TX
Zip	:	78641-4477
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1217 ARBOR ACRES LOOP
Second Line	:
City	:	LEANDER
State	:	TX
Zip	:	78641-4477
Country	:	US
Telephone Number	:	512-712-6872
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2025
Last Update Date	:	10/06/2025

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Directions to “ MARICARMEN GONZALEZ HERNANDEZ RBT” Practice Location

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