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NPI Code Detail

MEDICARE: DIANA C. GOMEZ RBT

MEDICARE:   DIANA C. GOMEZ  RBT
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-25-482807FL

General Provider Information

NPI Number : 1790654507
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA C. GOMEZ RBT
Provider Business Mailing Address
First Line : 706 MYRTLE LAKE CT APT 105
Second Line :
City : ORLANDO
State : FL
Zip : 32825-3274
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 706 MYRTLE LAKE CT APT 105
Second Line :
City : ORLANDO
State : FL
Zip : 32825-3274
Country : US
Telephone Number : 407-820-0127
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2025
Last Update Date : 01/30/2026

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Directions to “ DIANA C. GOMEZ RBT” Practice Location

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