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NPI Code Detail

MEDICARE: YESICA GONZALEZ RBT

MEDICARE:   YESICA  GONZALEZ  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
1106S00000XBehavior TechnicianRBT-26-536911FL

General Provider Information

NPI Number : 1306770854
Entity Type Code : Individual
Provider Name (Legal Business Name) : YESICA GONZALEZ RBT
Provider Business Mailing Address
First Line : 3661 CENTRAL AVE
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-8218
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3669 SW 2ND AVE
Second Line :
City : GAINESVILLE
State : FL
Zip : 32607-2856
Country : US
Telephone Number : 352-554-6164
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2026
Last Update Date : 06/10/2026

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Directions to “ YESICA GONZALEZ RBT” Practice Location

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