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Joanna I Tapia Gomez

Behavior Technician in Forest Hills, NY. Individual provider (NPI-1).

NPI number1710732003
StatusActive
Last updated in NPPESMay 4, 2024

Details

NPI
1710732003
Entity type
Individual (NPI-1)
Name
Joanna I Tapia Gomez
Sex
Female
Sole proprietor
No
Enumeration date
Apr 19, 2024
Certification date
May 2, 2024
Last updated
May 4, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

7000 Austin St Ste 200
Forest Hills, NY 11375-4739

Phone 917-945-3877

Mailing address

3216 75th St
East Elmhurst, NY 11370-1808

Phone 917-945-3877

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