person
Marissa Paulette Gomez
Driver in Albuquerque, New Mexico
NPI 1619432663

Marissa Paulette Gomez is a Driver based in Albuquerque, NM. Marissa Paulette Gomez practices in Albuquerque, NM. The NPI Number for Marissa Paulette Gomez is 1619432663 and holds a License No. (New Mexico).

The current practice location address for Marissa Paulette Gomez is 12200 Montgomery Blvd Ne Apt D202, Albuquerque, NM and can be reached out via phone at 575-288-8402. You can also correspond with Marissa Paulette Gomez through the mailing address at 12200 MONTGOMERY BLVD NE APT D202, ALBUQUERQUE, NM - 87111-4197 (mailing address contact number: 575-288-8402).

Location: 12200 Montgomery Blvd Ne Apt D202, Albuquerque, NM, 87111-4197
person
Provider Profile Details
NPI Number
1619432663
Provider Name
Marissa Paulette Gomez
Credential
Provider Entity Type
Individual
Gender
Male
Address
12200 Montgomery Blvd Ne Apt D202, Albuquerque, NM, 87111-4197
Phone Number
575-288-8402
Fax Number
Provider Enumeration Date
02/04/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3624309576 05 NM
institution
Provider Business Practice Location Address Details
Address
12200 Montgomery Blvd Ne Apt D202
City
State
Zip
87111-4197
Phone Number
575-288-8402
Fax Number
person
Provider Business Mailing Address Details
Address
12200 Montgomery Blvd Ne Apt D202
City
State
Zip
87111-4197
Phone Number
575-288-8402
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Behavior Technician
Speciality
-
Taxonomy
License No.
513575084 (New Mexico)
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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