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Individual

MS. ANGI DESSIREE GOMEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCABA

Contact information

Practice address
14381 SW 268TH ST APT 208, HOMESTEAD, FL 33032-8191
(786) 334-3375
Mailing address
2679 SE 13TH ST, HOMESTEAD, FL 33035-2539
(786) 334-3375

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-2111782
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102926200
FL
Enumeration date
01/04/2019
Last updated
10/20/2025
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