Kristen Gomez
Individual provider Active NPI Behavior Technician · Friendsville, TN
NPI 1093525909 · NPPES record last updated Jan 13, 2025
Key facts
- NPI
- 1093525909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 902 N Union Grove Rd
Friendsville, TN 37737-2518 - Phone
- (865) 771-1645
- NPI assigned
- Jan 13, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
902 N Union Grove Rd
Friendsville, TN 37737-2518
Mailing address
902 N Union Grove Rd
Friendsville, TN 37737-2518
Other providers in Friendsville, TN
All providers in Friendsville, TN · Behavior Technician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.