Paola Marcela Gomez
Behavior Technician in Homestead, FL. Individual provider (NPI-1).
NPI number1669257564
StatusActive
Last updated in NPPESAug 29, 2023
Details
- NPI
- 1669257564
- Entity type
- Individual (NPI-1)
- Name
- Paola Marcela Gomez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 29, 2023
- Certification date
- Aug 27, 2023
- Last updated
- Aug 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | FL | Yes |
Practice location
1088 Ne 39th AveHomestead, FL 33033-5923
Phone 786-877-0387
Mailing address
1088 Ne 39th AveHomestead, FL 33033-5923
Phone 786-877-0387
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