Individual
ADAM RYAN GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
615 W 37TH ST, SAN PEDRO, CA 90731-6977
(855) 832-6727
Mailing address
4575 SE DIXIE HWY, STUART, FL 34997-6826
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-44205
CA
Other
Enumeration date
05/05/2018
Last updated
05/05/2018
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