Mariana Gomez

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-62991

Practice address

901 E Redbud Ave Ste 5a-5B
McAllen, TX 78504-2644

Phone

(956) 353-9508

Fax

(866) 610-1692

NPI assigned

Aug 29, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Behaviorall ABA Therapy, LLC

  • Behavior Analyst
  • Mission, TX
  • NPI 1982402137
  NPD Authorized official
• Victory Rehab LLC

  • Physical Therapist
  • Alamo, TX
  • NPI 1831444801
  NPD (past)

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1780166512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E REDBUD AVE STE 5A-5B",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042644",
            "telephone_number": "956-353-9508",
            "fax_number": "866-610-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E REDBUD AVE STE 5A-5B",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042644",
            "telephone_number": "956-353-9508",
            "fax_number": "866-610-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "MARIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "38895",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-22-62991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Pablo Gomez, M.D.,
• Julian Gomez III, MD
• Kaylynne Lianie Gomez
• Keyla Yanira Gomez, SLPA
• Manuel Gomez, OTR
• Santiago E Gomez, RPH
• Vanessa Gonzales Martinez
• Clarissa Gonzales, OD
• Dianira C Gonzales, SLP
• Elizabeth Hope Gonzales, P.A.-C.

• All providers in McAllen, TX
• Behavior Analyst in Texas

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

Verify at the official NPI Registry.