Individual
DEBORAH E GOMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2137 E HUNTINGDON ST, PHILADELPHIA, PA 19125-1466
(215) 701-2601
Mailing address
8540 VERREE RD, PHILADELPHIA, PA 19111-1399
(215) 342-7660
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB749800
PA
Other
Enumeration date
06/23/2006
Last updated
08/28/2024
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