Vanessa Alexandra Gomez
Behavior Technician in Eagan, MN. Individual provider (NPI-1).
NPI number1104769686
StatusActive
Last updated in NPPESApr 10, 2026
Details
- NPI
- 1104769686
- Entity type
- Individual (NPI-1)
- Name
- Vanessa Alexandra Gomez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2026
- Certification date
- Apr 10, 2026
- Last updated
- Apr 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4130 Blackhawk Rd Ste 136-146Eagan, MN 55122-1700
Phone 651-515-1415
Mailing address
9225 Hallmark Ave SCottage Grove, MN 55016-3851
Phone 651-253-1404
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All 325 Behavior Technician providers in Eagan · All 2,108 providers in Eagan
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