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Elias Gomez Fermin

Behavior Technician in Kissimmee, FL. Individual provider (NPI-1).

NPI number1003663568
StatusActive
Last updated in NPPESMay 2, 2024

Details

NPI
1003663568
Entity type
Individual (NPI-1)
Name
Elias Gomez Fermin
Sex
Male
Sole proprietor
Yes
Enumeration date
May 2, 2024
Certification date
May 2, 2024
Last updated
May 2, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1416 Simpson Rd
Kissimmee, FL 34744-4600

Phone 321-947-8923

Mailing address

1416 Simpson Rd
Kissimmee, FL 34744-4600

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