Anniet Jorge Gomez, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-23-261879 Issued in FL

Practice address

11037 Siting PL
Orlando, FL 32825-7227

Phone

(913) 952-4162

NPI assigned

Mar 6, 2023

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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

• Brightside Behavioral Center Inc

  • Behavior Analyst
  • Oviedo, FL
  • NPI 1255050357
  NPD Authorized official

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1740980135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11037 SITING PL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328257227",
            "telephone_number": "913-952-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11037 SITING PL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328257227",
            "telephone_number": "913-952-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGE GOMEZ",
        "first_name": "ANNIET",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-261879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Marie Jordan, FNP-BC
• Florelena Jorge Di Profio
• Jorge E. Garayua, M.D., P.a.
• Jorge E. Quintero (Exclusive Dentistry)
• Jorge E. Quintero (Exclusive Dentistry)
• Jorge J. Perez, M.D., P.a.
• Jorge L. Mercado Richardson (Natural Smiles of Orlando)
• Karen Elizabeth Jorge
• Kevin Jorgenson, CRNA
• Zoila Elizabeth Jorro, D.O

• Behavior Technician in Orlando, FL
• Providers in Orlando, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.