Individual
DAVID GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
148 QUINCY ST NE, ALBUQUERQUE, NM 87108-1257
(505) 550-1306
Mailing address
1611 SAN PATRICIO AVE SW, ALBUQUERQUE, NM 87104-1047
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NM
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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