Individual
HANNAH JOSSEN GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
6635 EAST 21ST STREET WEST BUILDING, INDIANAPOLIS, IN 46219-2254
(317) 608-2824
(317) 520-8200
Mailing address
311 BOULEVARD OF AMERICAS STE 304, LAKEWOOD, NJ 08701-4960
(402) 252-1363
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-42148
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-20-42148
BCBA CERTIFICATION
IN
Enumeration date
06/08/2020
Last updated
02/19/2024
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