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Maria D Rodriguez Gomez

Behavior Technician in Orlando, FL. Individual provider (NPI-1).

NPI number1548039720
StatusActive
Last updated in NPPESDec 28, 2023

Details

NPI
1548039720
Entity type
Individual (NPI-1)
Name
Maria D Rodriguez Gomez
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 28, 2023
Certification date
Dec 28, 2023
Last updated
Dec 28, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

12515 Lake Square Cir Apt 310
Orlando, FL 32821-6964

Phone 407-413-2299

Mailing address

12515 Lake Square Cir Apt 310
Orlando, FL 32821-6964

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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