Judith Polo Gonzalez

NPI 1144054859 · on the registry since 2024 · sole proprietor

Practice

Address: 7420 Sw 48th St
Miami, FL 33155
Phone: (305) 846-9043
Fax: (786) 755-2616
Organisation at this address: Diaz Cm Services Corp
Vivify D & P Community Mental Health Care Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: Behavior Analyst
103K00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-08-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida