MEDICARE: JESSICA 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	RBT-23-318515	FL
2	106E00000X	Assistant Behavior Analyst	0-25-16653	FL

General Provider Information

NPI Number	:	1366288490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA GOMEZ

Provider Business Mailing Address
First Line	:	2241 ISLAND DR
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33023-3503
Country	:	US
Telephone Number	:	954-715-0340
Fax Number	:

Provider Business Practice Location Address
First Line	:	2241 ISLAND DR
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33023-3503
Country	:	US
Telephone Number	:	954-715-0340
Fax Number	:

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

Provider Enumeration Date	:	07/08/2024
Last Update Date	:	12/22/2025

Similar Medicare Providers

1124971569 — NASHRA FREDERIC
Practice Location Address:

2251 ISLAND DR
MIRAMAR, FL
33023-3503

Practice Phone: 305-967-3261
Practice Fax:

1902213085 — ARROW CASE MANAGEMENT, INC
Practice Location Address:

3503 SW 52ND AVE APT 101
HOLLYWOOD, FL
33023-5430

Practice Phone: 954-348-0369
Practice Fax:

1316354384 — RACHAEL KELLY
Practice Location Address:

3503 SW 52ND AVE APT 101
HOLLYWOOD, FL
33023-5430

Practice Phone: 954-348-0369
Practice Fax:

1104623255 — BROWARD ELITE CARE GROUP INC.
Practice Location Address:

7971 RIVIERA BLVD STE 307
MIRAMAR, FL
33023-6447

Practice Phone: 786-718-5342
Practice Fax: 305-675-6469

1902598212 — SPECTRUM THERAPY CARE LLC
Practice Location Address:

7971 RIVIERA BLVD STE 323
MIRAMAR, FL
33023-6448

Practice Phone: 954-893-7300
Practice Fax: 786-885-2787

1558214585 — BARBARA TEMIKA LUCILLE GRAY DOULA
Practice Location Address:

6748 DOGWOOD DR
MIRAMAR, FL
33023-4849

Practice Phone: 954-842-9471
Practice Fax:

Directions to “ JESSICA 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.