Individual
TYESHA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BSL
Contact information
Practice address
410 N PRINCE ST, LANCASTER, PA 17603-3010
(717) 560-7917
(717) 560-6452
Mailing address
410 N PRINCE ST, LANCASTER, PA 17603-3010
(717) 560-7917
(717) 560-6452
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH007582
PA
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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