Individual
BRYAN GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
400 SAINT LOUIS ST STE 1, EDWARDSVILLE, IL 62025-1979
(844) 244-1818
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(844) 854-1116
(305) 846-9711
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT21175575
CA
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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