IndividualActive
Brian Gomez
NPI 1093214520 · Behavior Technician · Lyons, IL
Provider details
- NPI number
- 1093214520
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
4220 Fishermans Ter
Lyons, IL 60534-1402
Phone: (708) 612-2756
Approximate (ZIP-level) locationGet directions
Mailing address
4220 Fishermans Ter
Lyons, IL 60534-1402
Registry dates
- Enumerated
- 2018-02-10
- Last updated
- 2018-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.