Guadalupe Gomez
Behavior Technician in Ventura, CA. Individual provider (NPI-1).
NPI number1295548873
StatusActive
Last updated in NPPESJan 29, 2025
Details
- NPI
- 1295548873
- Entity type
- Individual (NPI-1)
- Name
- Guadalupe Gomez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 29, 2025
- Certification date
- Jan 24, 2025
- Last updated
- Jan 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4880 Market StVentura, CA 93003-7783
Phone 805-364-8521
Mailing address
4880 Market StVentura, CA 93003-7783
Phone 805-364-8521
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