Individual
LAURA VERONICA GOMEZ RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3759 W 62ND PL, CHICAGO, IL 60629-4018
(773) 606-5147
Mailing address
3759 W 62ND PL, CHICAGO, IL 60629-4018
(773) 606-5147
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/05/2022
Last updated
02/05/2022
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