Gomer, Amanda Beth

Gomer, Amanda Beth is an sole proprietor health care provider with primary practice located at 2001 River Park Ct , Valrico FL 33596. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Gomer, Amanda Beth can be contacted via phone (813) 712-9975.

Contact Information

Primary practice address
2001 River Park Ct Valrico FL 33596
Phone: (813) 712-9975
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1649787920
LBN Legal business name Gomer, Amanda Beth
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2018
Last updated Aug 6th, 2019 - about 5 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.

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