Individual
ANDREA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 BAYBERRY LN, LEVITTOWN, NY 11756-4013
(516) 390-4387
Mailing address
114 BAYBERRY LN, LEVITTOWN, NY 11756-4013
(516) 390-4387
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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