Lazette Monique Gomez
Behavior Technician in San Diego, CA. Individual provider (NPI-1).
NPI number1164096848
StatusActive
Last updated in NPPESMay 17, 2021
Details
- NPI
- 1164096848
- Entity type
- Individual (NPI-1)
- Name
- Lazette Monique Gomez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 17, 2021
- Certification date
- May 17, 2021
- Last updated
- May 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
11770 Bernardo Plaza Ct Ste 350San Diego, CA 92128-2426
Phone 818-241-6780
Mailing address
1055 E Colorado Blvd Ste 560Pasadena, CA 91106-2380
Phone 818-241-6780
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