Brian Jesse Gomez

Behavior Technician · Lyons, IL

Individual Active NPI

NPI number 1093214520

Practice location

4220 Fishermans Ter
Lyons, IL 60534-1402
Phone
(708) 612-2756

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NPI record

NPI
1093214520
Entity type
Individual (Type 1)
Enumeration date
February 10, 2018
Last updated
February 10, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

About Brian Gomez

Brian Jesse Gomez is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 4220 Fishermans Ter, Lyons, IL 60534-1402. The NPI number 1093214520 was assigned on February 10, 2018 and the record was last updated on February 10, 2018.

Frequently asked questions

What is the NPI number of Brian Jesse Gomez?

The NPI number is 1093214520.

What is the phone number of Brian Gomez?

The phone number listed for the practice location is (708) 612-2756.

Where is Brian Gomez located?

4220 Fishermans Ter, Lyons, IL 60534-1402.

What is the taxonomy code for Brian Gomez?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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