Hannah Elise Gomez, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-27809 Issued in IL

Practice address

2762 N Lincoln Ave
Chicago, IL 60614-2425

Phone

(844) 247-7222

Fax

(847) 348-3706

NPI assigned

Sep 28, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Autism Home Support Services, Inc

  • Behavior Analyst
  • Northbrook, IL
  • NPI 1770818841
  NPD (past)
• Total Spectrum, LLC

  • Behavior Analyst
  • Elmhurst, IL
  • NPI 1922423177
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1487163937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 REVERE DR STE 120",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600628005",
            "telephone_number": "847-807-3717",
            "fax_number": "847-348-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2762 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142425",
            "telephone_number": "844-247-7222",
            "fax_number": "847-348-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "HANNAH",
        "middle_name": "ELISE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-17-27809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn B Gomez, LCSW
• Efren Gomez, QMHP, MA
• Elfega Gomez, FNP
• Freddy Gomez, PHARMD
• Gloria A Gomez
• Hecotr Jose Gomez, MD
• Irene Gomez, O.T.R.
• James Joseph Gomez, LCPC, LMHC, NCC
• Javier Gomez, P.T.
• Jena Jayne Gomez, PSYD

• Behavior Analyst in Chicago, IL
• Providers in Chicago, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.