Individual
LAUREN GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED, BCBA, LBA
Contact information
Practice address
9100 W 74TH ST, MERRIAM, KS 66204-4004
(913) 676-2253
(913) 789-3215
Mailing address
9100 W 74TH ST, MERRIAM, KS 66204-4004
(913) 676-2253
(913) 789-3215
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
2019027697
MO
103K00000X
Behavior Analyst
Primary
—
KS
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
07/21/2016
Last updated
08/25/2023
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