Laura Patricia Gomez
Behavior Technician in Ontario, CA. Individual provider (NPI-1).
NPI number1083276331
StatusActive
Last updated in NPPESJul 7, 2019
Details
- NPI
- 1083276331
- Entity type
- Individual (NPI-1)
- Name
- Laura Patricia Gomez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2019
- Last updated
- Jul 7, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | CA | Yes |
Practice location
1801 Excise AveOntario, CA 91761-8554
Phone 818-241-6780
Mailing address
1055 E Colorado Blvd Ste 560Pasadena, CA 91106-2380
Phone 818-241-6780 · Fax 818-241-6853
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