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Individual

MR. LIZARDO GOMEZ CAMPO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BCABA

Contact information

Practice address
3633 NW 9TH ST APT 8, MIAMI, FL 33125-3860
(971) 940-0673
Mailing address
3633 NW 9TH ST APT 8, MIAMI, FL 33125-3860
(971) 940-0673

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
BCABA-0-26-16810
FL
106S00000X
Behavior Technician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
021047000
FL
Enumeration date
02/04/2018
Last updated
02/03/2026
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