MARISSA PAULETTE GOMEZ (NPI# 1619432663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619432663 |
| Entity Type | Individual |
| Full Name | MARISSA PAULETTE GOMEZ |
| Practice Address |
12200 Montgomery Blvd Ne Apt D202 Albuquerque NM 87111-4197 |
| Practice Telephone | 5752888402 |
| Mailing Telephone | 5752888402 |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172A00000X | Driver | 513575084 | NM | Other Service Providers |
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 3624309576 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710535810 | Marissa Alisha Gomez | Behavior Technician | 53 Coleman Dr, Silver City, NM 88061-8954 | 2019-09-01 |
| 1699334623 | Marissa Salas Gomez | Behavior Technician | 84329 Redondo Sur, Coachella, CA 92236-7321 | 2019-06-12 |
| 1295371235 | Marissa Lucille Gomez | Behavior Technician | 3731 6th Ave Ste 100, San Diego, CA 92103-4383 | 2019-11-25 |
| 1922661909 | Marissa Gomez | Behavior Technician | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 | 2019-04-16 |
| Street Address |
12200 MONTGOMERY BLVD NE APT D202 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87111-4197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417438110 | Dehlen LLC | Counselor | 11000 Spain Rd Ne, Building E, Albuquerque, NM 87111 | 2018-08-22 |
| 1003313008 | Jessika Junick | Nurse Practitioner | 3825 Eubank Blvd Ne Ste A, Albuquerque, NM 87111 | 2018-04-07 |
| 1881113454 | Hayley Aragon-bell | Day Training/Habilitation Specialist | 3732 Mount Rainier Dr. Ne, Albuquerque, NM 87111 | 2017-09-14 |
| 1750803326 | Sarah Mckenzie Ochoa | Day Training/Habilitation Specialist | 3916 Garcia St Ne, Albuquerque, NM 87111 | 2017-07-14 |
| 1285179549 | Family Dental Health Care | Dentist | 4550 Eubank Blvd, Suite 203, Albuquerque, NM 87111 | 2016-12-22 |
| 1871036202 | Shobha Jagannath | Nurse Practitioner | 10700 Academy Rd Ne Apt 216, Albuquerque, NM 87111 | 2016-12-03 |
| 1508319310 | Mariana Boitano | Licensed Practical Nurse | 5400 Gibson Blvd., Albuquerque, NM 87111 | 2016-07-28 |
| 1184011082 | Adam Halpern | Specialist/Technologist | 4204 Parsifal St, Albuquerque, NM 87111 | 2015-04-20 |
| 1083015770 | Cvs Pharmacy | Public Health or Welfare | 5516 Camino Arbustos Ne, Albuquerque, NM 87111 | 2014-09-12 |
| 1508276973 | Stephanie Gonzales | Physician Assistant | 12241 Academy Rd Ne Ste 204, Albuquerque, NM 87111 | 2014-05-06 |
| Find all providers in zip 87111 | ||||
| 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 |
|---|---|---|---|---|
| 1215538343 | Victoria Lopez | Behavior Technician | 1015 Pinatubo Pl Nw, Albuquerque, NM 87120-2974 | 2020-11-04 |
| 1598366080 | Maya Mascarenas | Behavior Technician | 516 Madeira Dr Se Apt 3, Albuquerque, NM 87108-2971 | 2020-11-03 |
| 1831790419 | Alisa Maria Salazar | Behavior Technician | 9610 Arvada Ave Ne, Albuquerque, NM 87112-2912 | 2020-11-02 |
| 1548861065 | Darren Anzures | Behavior Technician | 10004 Benavides Rd Sw, Albuquerque, NM 87121-8126 | 2020-11-02 |
| 1316546286 | Julia Oliver | Behavior Technician | 7717 William Moyers Ave Ne, Albuquerque, NM 87122-2782 | 2020-10-22 |
| 1932708898 | Ann Marie Jean Doolittle Straight | Behavior Technician | 5013 Edwards Dr Ne, Albuquerque, NM 87111-6908 | 2020-10-21 |
| 1114526175 | Alicia Pearl Armijo I | Behavior Technician | 1509 Tierra Verde Pl Sw, Albuquerque, NM 87105-1510 | 2020-10-21 |
| 1285233684 | Michaela Sedillo | Behavior Technician | 1908 Utah St Ne, Albuquerque, NM 87110-4844 | 2020-10-19 |
| 1912506130 | Selena Luisa Wolfel | Behavior Technician | 231 Smith Ave Se, Albuquerque, NM 87102-4754 | 2020-10-19 |
| 1609474105 | Barbara D Mares | Behavior Technician | 5615 Bohemia Ct Sw, Albuquerque, NM 87105-3307 | 2020-10-15 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87111 |
Please comment or provide details below to improve the information on MARISSA PAULETTE GOMEZ.
| 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.