Individual provider Active NPI

Camila Cristine Ribeiro Gomes

  • Behavior Technician
  • Omaha, NE
National Provider Identifier
1548018369
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
24-339523 Issued in NE
Practice address
8922 Cuming St
Omaha, NE 68114-2732
Phone
(402) 926-4373
NPI assigned
May 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 24-339523 NE Primary

Addresses

Primary practice location

8922 Cuming St
Omaha, NE 68114-2732

Mailing address

1010 N 192ND CT Apt 215
Elkhorn, NE 68022-2822
Phone (402) 671-8310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
24-339523NEMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1548018369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N 192ND CT APT 215",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680222822",
            "telephone_number": "402-671-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8922 CUMING ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142732",
            "telephone_number": "402-926-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBEIRO GOMES",
        "first_name": "CAMILA",
        "middle_name": "CRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NE",
            "license": "24-339523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.