# MISS STEPHANIE KRISTAL GOMEZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1215574678
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | LBA0787 | NV | Yes |
| 106S00000X | Behavior Technician | RBT-19-107713 | NV | — |

## Other

- **Enumeration date:** 12/04/2019
- **Last updated:** 06/20/2023