Adela Gomez

Individual provider Active NPI Behavior Technician · Belford, NJ

NPI 1891203147 · NPPES record last updated Jan 19, 2018

Key facts

NPI
1891203147
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
317 Hollie Dr E
Belford, NJ 07718-1264
Phone
(855) 832-6727
NPI assigned
Jan 19, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician
Group: 193400000X SINGLE SPECIALTY GROUP
106S00000X Yes

Addresses

Primary practice location

317 Hollie Dr E
Belford, NJ 07718-1264

Mailing address

317 Hollie Dr E
Belford, NJ 07718-1264

Other providers in Belford, NJ

All providers in Belford, NJ · Behavior Technician in New Jersey

Sources for this page

Verify at the official NPI Registry.