Individual
ALINA N/A GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1086 RALEIGH RDG APT 8-206, FORT MILL, SC 29708-7304
(704) 300-5313
Mailing address
1086 RALEIGH RDG APT 8-206, FORT MILL, SC 29708-7304
(704) 300-5313
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
25464199
NC
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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