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NPI Code Detail

MEDICARE: VANESSA GOMEZ BEHAVIOR THERAPIST

MEDICARE: VANESSA GOMEZ BEHAVIOR THERAPIST
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1376135988
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA GOMEZ BEHAVIOR THERAPIST
Provider Business Mailing Address
First Line : 3301 37TH AVE
Second Line :
City : SACRAMENTO
State : CA
Zip : 95824-2418
Country : US
Telephone Number : 916-210-8773
Fax Number :
Provider Business Practice Location Address
First Line : 3301 37TH AVE
Second Line :
City : SACRAMENTO
State : CA
Zip : 95824-2418
Country : US
Telephone Number : 916-210-8773
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2021
Last Update Date : 01/06/2026

Similar Medicare Providers

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1972830057 — MRS. ANDREA MELISSA SANCHEZ MS, AMFT
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1760871719 — JESSIE ARMENTA
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Directions to “ VANESSA GOMEZ BEHAVIOR THERAPIST” Practice Location

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