Most Relevant Information
Provider Data
| NPI Number: | 1003566910 |
| Provider Name: | LIEPSY GOMEZ CARDENAS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-21-152691 |
Most Important Dates
| Enumeration Date: | 03/24/2022 |
| Last Updated: | 03/24/2022 |
Provider Practice Location
1402 NW 10TH AVE
CAPE CORAL
FL
339936009
Practice Location Phone/Fax
| Phone: | 2397660177 |
| Fax: |
Provider Mailing Location
1402 NW 10TH AVE
CAPE CORAL
FL
339936009
Provider Mailing Phone/Fax
| Phone: | 2397660177 |
| Fax: |