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NPI Code Detail

MEDICARE: DAYMARELYS GOMEZ PEREZ

MEDICARE:   DAYMARELYS  GOMEZ PEREZ
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
1106S00000XBehavior TechnicianRBT-24-344505FL
2103K00000XBehavior Analyst1-26-90289FL

General Provider Information

NPI Number : 1689497687
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAYMARELYS GOMEZ PEREZ
Provider Business Mailing Address
First Line : 21351 SW 102ND AVE
Second Line :
City : CUTLER BAY
State : FL
Zip : 33189-3009
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 21351 SW 102ND AVE
Second Line :
City : CUTLER BAY
State : FL
Zip : 33189-3009
Country : US
Telephone Number : 305-589-2546
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2024
Last Update Date : 06/20/2026

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Directions to “ DAYMARELYS GOMEZ PEREZ ” Practice Location

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