| Provider / Organization | NPI | Date Certified |
|---|---|---|
| GISSELLE ANGELICA GOMEZ | 1891572129 | 2023-09-11 |
Gisselle Angelica Gomez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1891572129. Registration indicates Gisselle Angelica Gomez is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Gisselle Angelica Gomez |
| Practice Office Address | 26914 SNOW CANYON CIR MORENO VALLEY, CA US |
| Practice Office Telephone | 5623876868 |
| Mailing Address | 26914 SNOW CANYON CIR MORENO VALLEY, CA 925554987 US |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |