Healthcare Provider Details

I. General information

NPI: 1093461139
Provider Name (Legal Business Name): KARLA DANIELA GOMEZ GARCIA ASSISTANT ANALYST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2022
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12301 COUNTRY MEADOWS DR
PARKER CO
80134-7426
US

IV. Provider business mailing address

1375 N WASHINGTON ST APT 202
DENVER CO
80203-2056
US

V. Phone/Fax

Practice location:
  • Phone: 719-466-4809
  • Fax:
Mailing address:
  • Phone: 303-827-5698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License NumberRBT-22-205249
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: