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Jessica Gomez

Assistant Behavior Analyst in Miramar, FL. Individual provider (NPI-1).

NPI number1366288490
StatusActive
Last updated in NPPESDec 22, 2025

Details

NPI
1366288490
Entity type
Individual (NPI-1)
Name
Jessica Gomez
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 8, 2024
Certification date
Dec 22, 2025
Last updated
Dec 22, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106E00000X Assistant Behavior Analyst0-25-16653FLYes
106S00000X Behavior TechnicianRBT-23-318515FL

Practice location

2241 Island Dr
Miramar, FL 33023-3503

Phone 954-715-0340

Mailing address

2241 Island Dr
Miramar, FL 33023-3503

Phone 954-715-0340

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