Individual provider · Type 1 NPI
Licelot Gonzalez, RBT
Specialist · Secaucus, NJ
NPI number
1912372426
Active
Practice location
600 Meadowlands Pkwy, Suite 142
Secaucus, NJ 07094-1633
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
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About NPI 1912372426
Licelot Gonzalez, RBT's National Provider Identifier is 1912372426, issued on Dec 9, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Secaucus, NJ. The record was last updated on May 8, 2016.