MEDICARE: ALINA N/A GOMEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	25464199	NC

General Provider Information

NPI Number	:	1285564591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALINA N/A GOMEZ

Provider Business Mailing Address
First Line	:	1086 RALEIGH RDG APT 8-206
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29708-7304
Country	:	US
Telephone Number	:	704-300-5313
Fax Number	:

Provider Business Practice Location Address
First Line	:	1086 RALEIGH RDG APT 8-206
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29708-7304
Country	:	US
Telephone Number	:	704-300-5313
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

Similar Medicare Providers

1083944946 — LISA MARIE JOHNSON LM
Practice Location Address:

3113 HIGHGATE DR
FORT MILL, SC
29715-7304

Practice Phone: 704-900-9849
Practice Fax: 704-947-9076

1740758523 — STEVE ZACZYK PHARMD
Practice Location Address:

100 PAINTERS MILL RD STE 500
OWINGS MILLS, MD
21117-7304

Practice Phone: 814-282-6964
Practice Fax:

1093469470 — MEGAN RUSSO
Practice Location Address:

5 WATER MILL RD
BLUFFTON, SC
29909-7304

Practice Phone: 908-217-6114
Practice Fax:

1871533752 — GREGORY HEATH SMITH DO
Practice Location Address:

800 5TH AVE STE 500
FORT WORTH, TX
76104-7304

Practice Phone: 817-250-4280
Practice Fax:

1619912581 — RODNEY D VITOVSKY PA-C
Practice Location Address:

800 5TH AVE STE 500
FORT WORTH, TX
76104-7304

Practice Phone: 817-250-4280
Practice Fax:

1942234521 — DAN R PERSON PA
Practice Location Address:

800 5TH AVE STE 500
FORT WORTH, TX
76104-7304

Practice Phone: 817-878-5300
Practice Fax: 817-878-5321

Directions to “ ALINA N/A GOMEZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.