Gomez, Bryan

Gomez, Bryan is an individual health care provider with primary practice located at 400 Saint Louis St Ste 1 , Edwardsville IL 62025-1979. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Gomez, Bryan can be contacted via phone (844) 244-1818.

Contact Information

Primary practice address
400 Saint Louis St Ste 1 Edwardsville IL 62025-1979
Phone: (844) 244-1818
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT21175575 California

Profile Details

NPI number 1811653041
LBN Legal business name Gomez, Bryan
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2021
Last updated Nov 11th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers