Gomez, Shannon

Gomez, Shannon is an individual health care provider with primary practice located at 1021 4Th St Ste B , Taft CA 93268-2433. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Gomez, Shannon can be contacted via phone (661) 765-7025.

Contact Information

Primary practice address
1021 4Th St Ste B Taft CA 93268-2433
Phone: (661) 765-7025
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1366985624
LBN Legal business name Gomez, Shannon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2016
Last updated Feb 20th, 2024 - about last year

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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