MEDICARE: GISELLE ELIZABETH 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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1407223209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GISELLE ELIZABETH GOMEZ

Provider Business Mailing Address
First Line	:	852 OAKCREEK ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89110-2422
Country	:	US
Telephone Number	:	702-677-0787
Fax Number	:

Provider Business Practice Location Address
First Line	:	852 OAKCREEK ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89110-2422
Country	:	US
Telephone Number	:	702-677-0787
Fax Number	:

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

Provider Enumeration Date	:	08/27/2015
Last Update Date	:	08/27/2015

Similar Medicare Providers

1326325002 — MISS EBONY THEODESIA CARTER
Practice Location Address:

5901 VEGAS DR
LAS VEGAS, NV
89108-2422

Practice Phone: 702-764-1255
Practice Fax:

1306199476 — FLORENA AMORES RUEDA
Practice Location Address:

2422 SWIFTON CT
LAS VEGAS, NV
89104-5074

Practice Phone: 702-421-2073
Practice Fax: 702-421-2785

1023361193 — FJR CARE SERVICES LLC
Practice Location Address:

2422 SWIFTON CT
LAS VEGAS, NV
89104-5074

Practice Phone: 702-421-2071
Practice Fax: 702-421-2785

1033531041 — MS. NIKOLE ANIS BROOKS
Practice Location Address:

1201 DOOLITTLE AVE
LAS VEGAS, NV
89106-2422

Practice Phone: 702-755-8773
Practice Fax:

1083159578 — KENNETH YARA LMSW
Practice Location Address:

2422 CALLE ALEGRE
LAS VEGAS, NM
87701-4802

Practice Phone: 505-459-2062
Practice Fax:

1558926444 — AMARILIS DE LA CARIDAD ALVAREZ MIGUENS
Practice Location Address:

5600 E RUSSELL RD UNIT 2422
LAS VEGAS, NV
89122-8017

Practice Phone: 561-536-8529
Practice Fax:

Directions to “ GISELLE ELIZABETH GOMEZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.