Carmen Gomez Canosa
NPI #1316585854 in Gainesville, Florida
Provider Information
- NPI Number
- 1316585854
- Entity Type
- Individual
- Name
- Carmen Gomez Canosa
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Dec 16, 2019
- Last Updated
- Dec 16, 2019
Practice Location
- Address
- 1731 SW 66TH DR
- City
- Gainesville
- State
- Florida
- ZIP Code
- 32607-5369
- Phone
- (561) 809-5074
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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