MARISSA ALISHA GOMEZ (NPI# 1710535810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710535810 |
| Entity Type | Individual |
| Full Name | MARISSA ALISHA GOMEZ |
| Practice Address |
53 Coleman Dr Silver City NM 88061-8954 |
| Mailing Address |
Po Box 584 Bayard NM 88023-0584 |
| Practice Telephone | 5753422530 |
| Mailing Telephone | 5753422530 |
| Enumeration Date | 2019-09-01 |
| Last Update Date | 2019-09-01 |
| Gender Code | F |
| 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 |
|---|---|---|---|---|
| 1699334623 | Marissa Salas Gomez | Behavior Technician | 84329 Redondo Sur, Coachella, CA 92236-7321 | 2019-06-12 |
| 1619432663 | Marissa Paulette Gomez | Driver | 12200 Montgomery Blvd Ne Apt D202, Albuquerque, NM 87111-4197 | 2019-02-04 |
| 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 |
53 COLEMAN DR |
| City | SILVER CITY |
| State | NM |
| Zip Code | 88061-8954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235764127 | Tanya Jacqueline Ruiz | Case Manager/Care Coordinator | 1000 Hudson St, Silver City, NM 88061 | 2020-03-11 |
| 1326686635 | Jasmine Jaylene Abeyta | Behavior Technician | 3903 N Pinos Altos Road, Silver City, NM 88061 | 2019-12-17 |
| 1548826829 | Stephanie Trujillo | Psychologist | 2810 N. Swan St., Silver City, NM 88061 | 2019-05-13 |
| 1619453784 | Courtney Ochoa | Counselor | 3200 32nd Street Bypass, Silver City, NM 88061 | 2018-07-12 |
| 1609369206 | Tara Arias | Behavior Technician | 2875 Grand Mesa St, Silver City, NM 88061 | 2018-06-08 |
| 1205339454 | Manuel A Ortega | Counselor | 1311 N Grant St Ste A, Silver City, NM 88061 | 2018-03-14 |
| 1720587058 | Manuel A. Martinez IIi | Social Worker | 3082 32nd Street Byp, Silver City, NM 88061 | 2018-02-01 |
| 1467971986 | Hidalgo Medical Services | Clinic/Center | 3200 32nd St Bypass, Silver City, NM 88061 | 2017-09-15 |
| 1245787316 | David Thomas Rivera | Social Worker | 2039 Cottage Sand Rd., Silver City, NM 88061 | 2016-09-07 |
| 1821462540 | Anthony Alibah | Pharmacist | 100 Rosdale Road, Walgreens, Silver City, NM 88061 | 2015-11-18 |
| Find all providers in zip 88061 | ||||
| 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 |
|---|---|---|---|---|
| 1326686635 | Jasmine Jaylene Abeyta | Behavior Technician | 3903 N Pinos Altos Road, Silver City, NM 88061 | 2019-12-17 |
| 1467002824 | Anna Reese | Behavior Technician | 1605 N Canal St Trlr 16, Silver City, NM 88061-6923 | 2019-09-18 |
| 1124676481 | Sheri Epperson | Behavior Technician | 1806 N Virginia St, Silver City, NM 88061-4628 | 2019-08-29 |
| 1356810899 | Spri Wheatley | Behavior Technician | 2709 N Leslie Rd Apt E42, Silver City, NM 88061-7208 | 2018-11-14 |
| 1609369206 | Tara Arias | Behavior Technician | 2875 Grand Mesa St, Silver City, NM 88061 | 2018-06-08 |
| 1073012381 | Ryann Perry | Behavior Technician | 4141 N Gold St, Silver City, NM 88061-7424 | 2018-02-02 |
| 1104355320 | Jazmin Carrillo | Behavior Technician | 2329 N Kimberly Dr, Silver City, NM 88061-7168 | 2017-06-10 |
| 1144759622 | Brittany Leigh Chiapetti | Behavior Technician | 1000 W College Ave, Silver City, NM 88061-4112 | 2017-06-08 |
| 1487185518 | Keresoma Tialavea | Behavior Technician | 1109 W College Ave Apt 2, Silver City, NM 88061-4100 | 2017-03-21 |
| 1831723733 | Kaitlyn Rutherford | Behavior Technician | 704 N A St, Silver City, NM 88061-4568 | 2020-02-28 |
| Find all providers in SILVER CITY | ||||
| City | SILVER CITY |
| Zip Code | 88061 |
Please comment or provide details below to improve the information on MARISSA ALISHA 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.