IndividualActive
Alexis Gomez
NPI 1053171827 · Behavior Technician · Itasca, IL
Provider details
- NPI number
- 1053171827
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
975 W Hawthorn Dr
Itasca, IL 60143-2056
Phone: (800) 844-1232
Approximate (ZIP-level) locationGet directions
Mailing address
975 W Hawthorn Dr
Itasca, IL 60143-2056
Registry dates
- Enumerated
- 2024-03-20
- Last updated
- 2024-03-20
- Certified
- 2024-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.