Stephanie Gomez
Behavior Technician in Chicago, IL. Individual provider (NPI-1).
NPI number1336713619
StatusActive
Last updated in NPPESMay 19, 2021
Details
- NPI
- 1336713619
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Gomez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 19, 2021
- Certification date
- May 19, 2021
- Last updated
- May 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
310 N Loomis StChicago, IL 60607-1147
Phone 312-243-8487
Mailing address
310 N Loomis StChicago, IL 60607-1147
Phone 312-243-8487
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