Gomez, Jennifer

Gomez, Jennifer is an sole proprietor health care provider with primary practice located at 152 Se 19Th Ter , Cape Coral FL 33990-2247. She recently has 2 registered licenses in different health care specialties including Agencies / In Home Supportive Care, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Gomez, Jennifer can be contacted via phone (305) 440-7162.

Contact Information

Primary practice address
152 Se 19Th Ter Cape Coral FL 33990-2247
Phone: (305) 440-7162
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-18-67772 Florida

Profile Details

NPI number 1235605791
LBN Legal business name Gomez, Jennifer
Credentials RBT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2018
Last updated Oct 26th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235605791 NPPES
Florida Other RBT-18-67772 RBT LICENSE

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