Active NPI
Gladys Gomez
- Behavior Technician
- Orlando, FL
National Provider Identifier
1689319667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 7208 W Sand Lake Rd Ste 305
Orlando, FL 32819-5279 - Phone
- (321) 947-8923
- Fax
- (407) 307-2328
- NPI assigned
- May 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
7208 W Sand Lake Rd Ste 305
Orlando, FL 32819-5279
Mailing address
9441 Cannon Dr
Orlando, FL 32817-3147
Phone (787) 421-3123
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651536000000",
"number": "1689319667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9441 CANNON DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328173147",
"telephone_number": "787-421-3123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7208 W SAND LAKE RD STE 305",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328195279",
"telephone_number": "321-947-8923",
"fax_number": "407-307-2328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "GLADYS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-03",
"last_updated": "2022-05-03",
"certification_date": "2022-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.