Talia Maria Gonzalez Vega
Individual provider Active NPI Behavior Technician · Winnabow, NC
NPI 1124844675 · NPPES record last updated Dec 2, 2024
Key facts
- NPI
- 1124844675
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-24-387406 (FL)
- Practice address
- 2373 Gadwall LN
Winnabow, NC 28479-2500 - Phone
- (305) 803-6414
- NPI assigned
- Dec 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-387406 | FL | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-387406 | FL | Yes |
Addresses
Primary practice location
2373 Gadwall LN
Winnabow, NC 28479-2500
Mailing address
2373 Gadwall LN
Winnabow, NC 28479-2500
Phone (305) 803-6414
Other providers in Winnabow, NC
- CR Resource Center Inc.
- Creative Solutions Child & Family Counseling, LLC
- Caitlin Dalton
- Empowered Minds Counseling, LLC
- Candice Brianne Frost
- Lisa A Houghton
- Donna Flynn Hudson
- Essence Armani James
- Beverly L Johnson
- Navin Kingston
All providers in Winnabow, NC · Behavior Technician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.