ALYSSA GOMEZ


Address: 1335 N Dutton Ave, Santa Rosa, CA 95401
Phone: 8552237123

ALYSSA GOMEZ (NPI# 1194116400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194116400
Entity Type Individual
Full Name ALYSSA GOMEZ
Practice Address 1335 N Dutton Ave
Santa Rosa
CA 95401
Mailing Address 2275 Arlington Dr
San Leandro
CA 94578-1132
Practice Telephone 8552237123
Practice Fax Number 7147847516
Mailing Telephone 5103171444
Enumeration Date 2015-02-09
Last Update Date 2018-07-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor Behavioral Health & Social Service Providers
Y 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2275 Arlington Dr, San Leandro, CA 945781132 5103171444

Other Providers ALYSSA GOMEZ

NPI Name Taxonomy Address Enumeration
1063950640 Alyssa Gomez Nurse Practitioner 15047 Los Gatos Blvd, #200, Los Gatos, CA 95032-2054 2017-02-03
1386986503 Alyssa K Gomez Counselor 1500 W Court St, Pasco, WA 99301 2013-03-26

Office Location

Street Address 1335 N DUTTON AVE
City SANTA ROSA
State CA
Zip Code 95401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871775494 Stephen Wise Counselor 1335 N Dutton Ave, Santa Rosa, CA 95401-4609 2007-12-05
1356983035 John Hughes Behavior Technician 1335 N Dutton Ave, Santa Rosa, CA 95401-4609 2019-10-14
1932662277 Antonia Allawatt Behavior Technician 1335 N Dutton Ave, Santa Rosa, CA 95401-4609 2019-04-12
1467915603 Valerie Lopez Behavior Technician 1335 N Dutton Ave, Santa Rosa, CA 95401-4609 2019-04-12
1578026811 Karen Teresa Lorena Castellanos Behavior Technician 1335 N Dutton Ave, Santa Rosa, CA 95401-4609 2019-04-12
1669935805 Catherine Louise Gillespy Behavior Technician 1335 N Dutton Ave, Santa Rosa, CA 95401-4609 2019-04-12
1992268130 Mckinly Rose Yeager Behavior Technician 1335 N Dutton Ave, Santa Rosa, CA 95401-4609 2019-04-12
1568924934 Sarah Calvez Behavior Technician 1335 N Dutton Ave, Santa Rosa, CA 95401-4609 2019-04-03
1225590698 Madeline Paige Haedt Behavior Technician 1335 N Dutton Ave, Santa Rosa, CA 95401-4609 2019-04-03
1003378480 Helen Bekeret Haile Behavior Technician 1335 N Dutton Ave, Santa Rosa, CA 95401-4609 2019-04-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972148575 Megan Elizabeth Jones In Home Supportive Care 1239 Eardley Ave, Santa Rosa, CA 95401 2019-11-07
1801447230 Patty Macisaac Technician 3221 Oak Farm Lane, Santa Rosa, CA 95401 2019-09-26
1386114981 Victoria Maria Guillory Dental Hygienist 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 2018-11-27
1811470727 Chemarin Eve Boyd Student in an Organized Health Care Education/Training Program 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 2018-09-07
1073008181 Cristavel Camacho Behavioral Analyst 1439 Range Ave, #101, Santa Rosa, CA 95401 2018-06-30
1619479102 Victoria King Behavior Technician 1335 N. Dutton Ave., Santa Rosa, CA 95401 2018-03-01
1114436060 Lacey Lynn Palmer Counselor 341 Irwin Lane, Santa Rosa, CA 95401 2017-09-22
1720530587 Compassionate Homecare Solutions, LLC In Home Supportive Care 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 2016-10-27
1366998981 William Glenn Marriage & Family Therapist 1496 Willowside Road, Santa Rosa, CA 95401 2016-09-01
1790144046 Advocacy Home Nursing, Inc Home Health 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 2016-02-15
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093340440 Sujey Arzeta Behavioral Analyst 1965 Zinfandel Ave Apt 201, Santa Rosa, CA 95403-7247 2020-03-05
1912564808 Ceci Yazmin Godoy Barragan Behavioral Analyst 1316 Edwards Ave Apt A, Santa Rosa, CA 95401-4260 2019-05-25
1609432681 Sarah Renee Briggs Behavioral Analyst 1721 Mesa Way, Santa Rosa, CA 95407-7141 2019-05-15
1619532439 Marisol Aguirre Behavioral Analyst 737 Hewett St, Santa Rosa, CA 95401-5364 2019-05-07
1962066142 Helen Gebretensai Gubsa Behavioral Analyst 8 Woodwardia Sq, Santa Rosa, CA 95409-5328 2019-04-23
1689133076 Lattice Educational Services Behavioral Analyst 3273 Airway Dr Ste A, Santa Rosa, CA 95403-2080 2019-03-15
1033681267 Ilany Prieto Altamirano Behavioral Analyst 2603 Northcoast St, Santa Rosa, CA 95403-3305 2018-12-28
1427525328 Christopher William Schouest Behavioral Analyst 5424 Sharon St., Santa Rosa, CA 95409 2018-10-29
1063997856 Taralyn Marie Kolster Behavioral Analyst 2001 Piner Rd Apt 148, Santa Rosa, CA 95403-6962 2018-09-27
1578047940 Jenifer Catherine Hamilton Behavioral Analyst 160 Wikiup Dr Ste 102, Santa Rosa, CA 95403-7776 2018-09-20
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Competitor

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City SANTA ROSA
Zip Code 95401

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Dataset Information

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.

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