Individual provider · Type 1 NPI

Mary Fernanda Gonzalez Fonseca, RBT-25-411073

Behavior Technician · Lakeland, FL

NPI number 1013713619 Active

Practice location

1305 Skowhegan Ave
Lakeland, FL 33805-3965

Call (813) 863-6774 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XRBT-25-411073 (FL)

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1013713619

Mary Fernanda Gonzalez Fonseca, RBT-25-411073's National Provider Identifier is 1013713619, issued on Feb 24, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Lakeland, FL. The record was last updated on Oct 22, 2026.