Provider Demographics
NPI:1053110080
Name:GONZALEZ, YUDINAIDI (RBT)
Entity type:Individual
Prefix:
First Name:YUDINAIDI
Middle Name:
Last Name:GONZALEZ
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:YUDINAIDI
Other - Middle Name:
Other - Last Name:GONZALEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10223 SW 227TH LN
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33190-1751
Mailing Address - Country:US
Mailing Address - Phone:786-354-0390
Mailing Address - Fax:786-354-0390
Practice Address - Street 1:10223 SW 227 TH LN
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33190-1751
Practice Address - Country:US
Practice Address - Phone:786-354-0390
Practice Address - Fax:786-354-0390
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician