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NPI Code Detail

MEDICARE: STEPHANIE GOMEZ HUGUET BCBA

MEDICARE:   STEPHANIE  GOMEZ HUGUET  BCBA
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
1103K00000XBehavior Analyst1-25-86387IL
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1538728084
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE GOMEZ HUGUET BCBA
Provider Business Mailing Address
First Line : 901 BIESTERFIELD RD STE 110
Second Line :
City : ELK GROVE VILLAGE
State : IL
Zip : 60007-3393
Country : US
Telephone Number : 630-999-8227
Fax Number :
Provider Business Practice Location Address
First Line : 901 BIESTERFIELD RD STE 110
Second Line :
City : ELK GROVE VILLAGE
State : IL
Zip : 60007-3393
Country : US
Telephone Number : 630-999-8227
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2019
Last Update Date : 01/07/2026

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Directions to “ STEPHANIE GOMEZ HUGUET BCBA” Practice Location

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