Individual
DR. SANDRA RAQUEL GOMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD., BCBA-D
Contact information
Practice address
1810 BURNT MILLS RD, BEDMINSTER, NJ 07921-2672
(908) 719-6400
Mailing address
1301 ALLEN RD, SOMERSET, NJ 08873-7488
(908) 447-2904
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-13-14283
BEHAVIOR ANALYST CERTIFICATION BOARD
—
Enumeration date
11/16/2017
Last updated
11/16/2017
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