IndividualActive
Angela Gomez
NPI 1962224758 · Behavior Technician · Itasca, IL
Provider details
- NPI number
- 1962224758
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
975 W Hawthorn Dr
Itasca, IL 60143-2056
Phone: (800) 844-1234
Approximate (ZIP-level) locationGet directions
Mailing address
975 W Hawthorn Dr
Itasca, IL 60143-2056
Registry dates
- Enumerated
- 2024-10-31
- Last updated
- 2024-10-31
- Certified
- 2024-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.