Individual
DAVID GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2418 E JOYCE BLVD, FAYETTEVILLE, AR 72703-4519
(479) 871-7994
Mailing address
6836 ISAACS ORCHARD RD, SPRINGDALE, AR 72762-6096
(479) 263-7691
(479) 927-4101
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291738706
—
AR
Enumeration date
11/22/2022
Last updated
03/20/2026
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