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NPI Code Detail

MEDICARE: CHRISTINA GOMEZ

MEDICARE: CHRISTINA 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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1225405335
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA GOMEZ
Provider Business Mailing Address
First Line : 1735 N NELLIS BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89115-3669
Country : US
Telephone Number : 702-459-7500
Fax Number :
Provider Business Practice Location Address
First Line : 1735 N NELLIS BLVD STE A
Second Line :
City : LAS VEGAS
State : NV
Zip : 89115-3670
Country : US
Telephone Number : 702-459-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2015
Last Update Date : 08/24/2015

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Directions to “ CHRISTINA GOMEZ ” Practice Location

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