Individual
MARIA YADIRA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
879 W 190TH ST STE 400, GARDENA, CA 90248-4223
(310) 692-4229
Mailing address
879 W 190TH ST STE 400, GARDENA, CA 90248-4223
(310) 692-4229
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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