Gomez, Laura
Gomez, Laura is an sole proprietor health care provider with primary practice located at 5430 Buchanan Rd , Delray Beach FL 33484-4218. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Gomez, Laura can be contacted via phone (305) 927-0931.Contact Information
Primary practice address
5430 Buchanan Rd
Delray Beach FL 33484-4218
Phone: (305) 927-0931
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X | 0-21-13291 | Florida |
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-20-113035 | Florida |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-22-62037 | Florida |
Profile Details
| NPI number | 1720613029 |
|---|---|
| LBN Legal business name | Gomez, Laura |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2020 |
| Last updated | Oct 17th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720613029 | NPPES |
| Florida | MEDICAID | 105888400 |
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