Individual
NANCY GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1535 N MOUNT JULIET RD, MT JULIET, TN 37122-3315
(615) 560-6622
(615) 560-6636
Mailing address
1535 N MOUNT JULIET RD, MT JULIET, TN 37122-3315
(615) 560-6622
(615) 560-6636
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12153387
TN
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/17/2019
Last updated
03/03/2022
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