Ninette Vizcaino Gomez
Behavior Technician in Homestead, FL. Individual provider (NPI-1).
NPI number1982284097
StatusActive
Last updated in NPPESApr 12, 2021
Details
- NPI
- 1982284097
- Entity type
- Individual (NPI-1)
- Name
- Ninette Vizcaino Gomez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 12, 2021
- Certification date
- Apr 12, 2021
- Last updated
- Apr 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-20-120487 | FL | Yes |
Practice location
26225 Sw 130th CtHomestead, FL 33032-8934
Phone 305-801-9037
Mailing address
26225 Sw 130th CtHomestead, FL 33032-8934
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