Individual
ACACIA GLORIA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2163 NE 182ND ST, NORTH MIAMI BEACH, FL 33162-1629
(305) 609-2925
Mailing address
2163 NE 182ND ST, NORTH MIAMI BEACH, FL 33162-1629
(305) 609-2925
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT19100190
FL
Other
Enumeration date
09/30/2019
Last updated
03/29/2022
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