Most Relevant Information
Provider Data
| NPI Number: | 1003494717 |
| Provider Name: | MARIAH GOMEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/01/2021 |
| Last Updated: | 04/01/2021 |
Provider Practice Location
1025 ATLANTIC AVE.
SUITE 101
ALAMEDA
CA
94501
Practice Location Phone/Fax
| Phone: | 5102688120 |
| Fax: |
Provider Mailing Location
638 TAMARACK DR
UNION CITY
CA
945871437
Provider Mailing Phone/Fax
| Phone: | 5105798448 |
| Fax: |