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Individual

INGRID NAOMI GOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
X

Contact information

Practice address
13913 S WESTERN AVE, OKLAHOMA CITY, OK 73170-7011
(405) 445-5567
Mailing address
2214 S SANTA FE AVE APT 202, MOORE, OK 73160-2863
(512) 971-1608

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-463262
OK

Other

Enumeration date
08/20/2025
Last updated
08/20/2025
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