Individual
ERICK GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1585 N 113TH AVE STE 102, AVONDALE, AZ 85392-3938
(480) 742-0841
Mailing address
15116 N COTTON LN, SURPRISE, AZ 85388-9618
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/09/2023
Last updated
07/10/2024
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