Most Relevant Information
Provider Data
| NPI Number: | 1003676602 |
| Provider Name: | KATIA GOMEZ GONZALEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-24-334984 |
Most Important Dates
| Enumeration Date: | 03/20/2024 |
| Last Updated: | 03/20/2024 |
Provider Practice Location
6504 N 31ST ST
TAMPA
FL
336101502
Practice Location Phone/Fax
| Phone: | 8139526775 |
| Fax: |
Provider Mailing Location
6504 N 31ST ST
TAMPA
FL
336101502
Provider Mailing Phone/Fax
| Phone: | 8139526775 |
| Fax: |