Individual
JESSICA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2241 ISLAND DR, MIRAMAR, FL 33023-3503
(954) 715-0340
Mailing address
2241 ISLAND DR, MIRAMAR, FL 33023-3503
(954) 715-0340
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-25-16653
FL
106S00000X
Behavior Technician
RBT-23-318515
FL
Other
Enumeration date
07/08/2024
Last updated
12/22/2025
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