Individual
JOANNA I TAPIA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 AUSTIN ST STE 200, FOREST HILLS, NY 11375-4739
(917) 945-3877
Mailing address
3216 75TH ST, EAST ELMHURST, NY 11370-1808
(917) 945-3877
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/19/2024
Last updated
05/04/2024
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