Marissa Salas Gomez

NPI #1699334623 in Coachella, California

Provider Information

NPI Number: 1699334623
Entity Type: Individual
Name: Marissa Salas Gomez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jun 12, 2019
Last Updated: Jun 12, 2019

Practice Location

Address: 84329 REDONDO SUR
City: Coachella
State: California
ZIP Code: 92236-7321
Phone: (442) 400-0980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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