Provider Demographics
NPI:1427520485
Name:GONZALEZ VEIGA, REBECA
Entity type:Individual
Prefix:
First Name:REBECA
Middle Name:
Last Name:GONZALEZ VEIGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16165 NW 64TH AVE APT 234
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-7534
Mailing Address - Country:US
Mailing Address - Phone:919-607-7488
Mailing Address - Fax:
Practice Address - Street 1:16165 NW 64TH AVE APT 234
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-7534
Practice Address - Country:US
Practice Address - Phone:919-607-7488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-31
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst