Lidanis Gomez Guerra

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT23310511 Issued in TX

Practice address

6250 Hazeltine National Dr Ste 102
Orlando, FL 32822-5102

Phone

(407) 237-9955

Fax

(833) 792-1182

NPI assigned

Sep 26, 2024

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

Locations

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.

• United Wellness Center LLC

  • Behavior Analyst
  • Orlando, FL
  • NPI 1174299622
  NPD

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1801613104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6250 HAZELTINE NATIONAL DR STE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328225102",
            "telephone_number": "407-237-9955",
            "fax_number": "833-792-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 HAZELTINE NATIONAL DR STE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328225102",
            "telephone_number": "407-237-9955",
            "fax_number": "833-792-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ GUERRA",
        "first_name": "LIDANIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT23310511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Dolores Gomez Bohorquez
• Monica Michel Gomez Bonilla
• Elizabeth Maria Gomez Companioni
• Cleyver A. Gomez de la Cruz
• Luz Francis Gomez Garcia
• Vanessa L Gomez Mendoza
• Danay Gomez Miranda, RBT
• Gabriela Gomez Morales
• Hector Ernesto Gomez Perera
• Thalia Gomez Prieto

• 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 Sep 26, 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.