Individual
MS. GUADALUPE GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 CONGRESS AVE STE 2000, AUSTIN, TX 78701-2745
(954) 603-7885
Mailing address
500 FAIRWAY DR, SUITE 102, DEERFIELD BEACH, FL 33441-1814
(888) 880-9270
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
TX
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/24/2015
Last updated
08/03/2022
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