BRIAN JESSE GOMEZ (NPI# 1093214520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093214520 |
| Entity Type | Individual |
| Full Name | BRIAN JESSE GOMEZ |
| Practice Address |
4220 Fishermans Ter Lyons IL 60534-1402 |
| Practice Telephone | 7086122756 |
| Enumeration Date | 2018-02-10 |
| Last Update Date | 2018-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245453299 | Brian Antonio Gomez | Counselor | 2483 Britt Dr, Argyle, TX 76226-2994 | 2007-04-10 |
| 1942848189 | Brian Gomez | Specialist/Technologist | 1600 Campus Rd, Los Angeles, CA 90041-3314 | 2019-12-18 |
| 1104264357 | Brian Gabriel Gomez | Physician Assistant | 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314-5674 | 2013-06-10 |
| 1649536004 | Brian Patrick Gomez | Social Worker | 1117 Country Hills Dr, Suite 5, Ogden, UT 84403-2559 | 2012-04-10 |
| Street Address |
4220 FISHERMANS TER |
| City | LYONS |
| State | IL |
| Zip Code | 60534-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942729520 | Marcelina Alvarez | Speech-Language Pathologist | 4204 Rose Ave, Lyons, IL 60534 | 2017-09-14 |
| 1720455983 | Team Rehabilitation Il05, LLC | Physical Therapist | 8317 Ogden Avenue, Lyons, IL 60534 | 2015-08-24 |
| 1457477556 | Cynthia Marie Sodini | Social Worker | 8645 45th Street, Lyons, IL 60534 | 2007-03-21 |
| 1164597597 | William J Wise Md Sc | Internal Medicine | 7729 Ogden Ave, Lyons, IL 60534 | 2006-11-21 |
| 1558379495 | Mary Bernadette Wise | General Practice | 7929 Ogden Ave, Lyons, IL 60534 | 2006-08-04 |
| 1235165457 | Ronald James Losiewicz | Chiropractor | 3840 S Harlem Avenue, Lyons, IL 60534 | 2006-06-23 |
| 1902381122 | Sara Sabadosa | Physical Therapist | 8317 Ogden Avenue, Lyons, IL 60534 | 2018-10-03 |
| 1669410080 | Julie K Miyamasu | Nurse Practitioner | 4101 1st Ave, Lyons, IL 60534-1028 | 2006-06-04 |
| 1962000851 | Kwame Owusu-banahene | Pharmacist | 4101 1st Ave, Lyons, IL 60534-1028 | 2020-10-13 |
| 1285101550 | Laura E Kukulski | Nurse Practitioner | 4101 1st Ave, Lyons, IL 60534-1028 | 2018-10-25 |
| Find all providers in zip 60534 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| 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. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083026 | Janani P Iyer | Behavior Technician | 2865 Clara Ave, Aurora, IL 60502-9641 | 2020-11-03 |
| 1932707775 | Jodi L Oller | Behavior Technician | 3921 Pintail Dr, Springfield, IL 62711-6738 | 2020-10-14 |
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1447858675 | Candace Marie Strong | Behavior Technician | 5310 W Cermak Rd, Cicero, IL 60804-2816 | 2020-10-10 |
| 1154928430 | Lenia Harris | Behavior Technician | 6353 S Rockwell St, Chicago, IL 60629-1631 | 2020-10-08 |
| 1083221832 | Halle Rickhoff | Behavior Technician | 8660 Red Fox Rd, Bartelso, IL 62218-1306 | 2020-09-25 |
| 1144836065 | Sonia Wilson | Behavior Technician | 15045 Oak St, Dolton, IL 60419-2640 | 2020-09-16 |
| 1104431105 | Calvin Alexander | Behavior Technician | 715 Foster St, Evanston, IL 60201-3201 | 2020-09-15 |
| 1316552813 | Yasmin Muhammad | Behavior Technician | 113 W 112th Pl, Chicago, IL 60628-4829 | 2020-09-11 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.