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Individual
CLARISSA GOMEZ
Active
Individual
CLARISSA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1104368844
CA
Other
Enumeration date
07/24/2025
Last updated
06/09/2026
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