MEDICARE: HELEN GONZALEZ MORENO

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	25-468780	FL

General Provider Information

NPI Number	:	1568326643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELEN GONZALEZ MORENO

Provider Business Mailing Address
First Line	:	7050 EASTWOOD ACRES RD
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33905-6114
Country	:	US
Telephone Number	:	954-483-1012
Fax Number	:

Provider Business Practice Location Address
First Line	:	1408 SE 17TH AVE
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-3801
Country	:	US
Telephone Number	:	239-205-6766
Fax Number	:

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

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	12/12/2025

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Directions to “ HELEN GONZALEZ MORENO ” Practice Location

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