Individual
CYNTHIA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3125 WILLOWCREEK RD, PORTAGE, IN 46368-4423
(574) 387-4313
Mailing address
1827 E IRELAND RD, SOUTH BEND, IN 46614-2845
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-491041
IN
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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