Individual
CHRISTINE GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
300 N 18TH ST, PHOENIX, AZ 85006-4103
(602) 340-8717
Mailing address
9340 W PASADENA AVE, GLENDALE, AZ 85305-3381
(623) 455-2245
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/08/2014
Last updated
04/16/2019
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