Individual
COLE NICOLAS GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
208 HASTINGS LN, ELIZABETH CITY, NC 27909-3324
(252) 621-1366
Mailing address
208 HASTINGS LN, ELIZABETH CITY, NC 27909-3324
(252) 621-1366
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002431
MI
Other
Enumeration date
09/08/2020
Last updated
06/27/2024
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