Jade Gomillion

Behavior Technician · Longview, TX

Individual Active NPI

NPI number 1992485262

Practice location

701 Glencrest Ln
Longview, TX 75601-5145
Phone
(903) 686-9941

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NPI record

NPI
1992485262
Entity type
Individual (Type 1)
Enumeration date
July 21, 2023
Last updated
July 21, 2023
Certified
July 21, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — TX

About Jade Gomillion

Jade Gomillion is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 701 Glencrest Ln, Longview, TX 75601-5145. The NPI number 1992485262 was assigned on July 21, 2023 and the record was last updated on July 21, 2023.

Frequently asked questions

What is the NPI number of Jade Gomillion?

The NPI number is 1992485262.

What is the phone number of Jade Gomillion?

The phone number listed for the practice location is (903) 686-9941.

Where is Jade Gomillion located?

701 Glencrest Ln, Longview, TX 75601-5145.

What is the taxonomy code for Jade Gomillion?

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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