MEDICARE: ANGELICA CABRERA 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	RBT6256	NV

General Provider Information

NPI Number	:	1063371185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELICA CABRERA GOMEZ

Provider Business Mailing Address
First Line	:	2165 E ROCHELLE AVE APT 21
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5441
Country	:	US
Telephone Number	:	702-572-4692
Fax Number	:

Provider Business Practice Location Address
First Line	:	2165 E ROCHELLE AVE APT 21
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5441
Country	:	US
Telephone Number	:	702-572-4692
Fax Number	:

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

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	02/10/2026

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Directions to “ ANGELICA CABRERA GOMEZ ” Practice Location

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