Most Relevant Information
Provider Data
| NPI Number: | 1003663568 |
| Provider Name: | ELIAS GOMEZ FERMIN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/02/2024 |
| Last Updated: | 05/02/2024 |
Provider Practice Location
1416 SIMPSON RD
KISSIMMEE
FL
347444600
Practice Location Phone/Fax
| Phone: | 3219478923 |
| Fax: |
Provider Mailing Location
1416 SIMPSON RD
KISSIMMEE
FL
347444600
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |