Anadaisy Gomez
Behavior Technician in Murrieta, CA. Individual provider (NPI-1).
NPI number1124882790
StatusActive
Last updated in NPPESFeb 13, 2024
Details
- NPI
- 1124882790
- Entity type
- Individual (NPI-1)
- Name
- Anadaisy Gomez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2024
- Certification date
- Feb 13, 2024
- Last updated
- Feb 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
25190 Hancock Ave Ste CMurrieta, CA 92562-5984
Phone 951-200-5532
Mailing address
25190 Hancock Ave Ste CMurrieta, CA 92562-5984
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