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Provider Information for 1346888229

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

ALEJANDRA GOMEZ

Gender: FEMALE

Individual NPI: 1346888229

Calendar   Last Updated:  2019-12-11
  Certification Date:  2019-12-11

Details

Name Value
NPI 1346888229
Enumeration Date 2019-12-11
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 9600 GREAT HILLS TRL SUITE 150W
AUSTIN, TX 78759-6387
United States

Phone: | Fax:
View Map External Link
Primary Practice Address 9600 GREAT HILLS TRL SUITE 150W
AUSTIN, TX 78759-6387
United States

Phone: 303-989-8169 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 106S00000X - Behavior Technician