Healthcare Provider Details

I. General information

NPI: 1104769686
Provider Name (Legal Business Name): VANESSA ALEXANDRA GOMEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2026
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4130 BLACKHAWK RD STE 136-146
EAGAN MN
55122-1700
US

IV. Provider business mailing address

9225 HALLMARK AVE S
COTTAGE GROVE MN
55016-3851
US

V. Phone/Fax

Practice location:
  • Phone: 651-515-1415
  • Fax:
Mailing address:
  • Phone: 651-253-1404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: