Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Fernanda Gonzalez Fonseca, RBT-25-411073

Individual provider Behavior Technician · NPI 1013713619

Mary Fernanda Gonzalez Fonseca, RBT-25-411073 is a Behavior Technician in Lakeland, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025
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Practice location Address checks out

1305 Skowhegan Ave
Lakeland, FL 33805-3965
Phone: (813) 863-6774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-25-411073 (FL)

Record details

NPI number1013713619
Entity typeIndividual (Type 1)
GenderFemale
Credentials RBT-25-411073
Sole proprietorYes
NPI enumeratedFebruary 24, 2025
Last updated in NPPESMarch 29, 2025
Certification dateMarch 29, 2025

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