CAMILA ISABEL GOMEZ (NPI# 1821629676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821629676 |
| Entity Type | Individual |
| Full Name | CAMILA ISABEL GOMEZ |
| Practice Address |
3403b Garden Villa Ln Austin TX 78704-6915 |
| Mailing Address |
3201 Esperanza Xing Apt 345 Austin TX 78758-7865 |
| Practice Telephone | 5128556727 |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-01-30 |
| 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 |
| Street Address |
3403B GARDEN VILLA LN |
| City | AUSTIN |
| State | TX |
| Zip Code | 78704-6915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265698773 | Kelle Nicole Barron | Behavioral Analyst | 3403b Garden Villa Ln, Austin, TX 78704-6915 | 2008-08-04 |
| 1225645047 | Carly Grace Sponseller | Technician, Other | 3403b Garden Villa Ln, Austin, TX 78704-6915 | 2020-09-25 |
| 1083228704 | Dale Patrick Baker | Technician, Other | 3403b Garden Villa Ln, Austin, TX 78704-6915 | 2020-09-01 |
| 1710590526 | Rebecca Broussard | Technician, Other | 3403b Garden Villa Ln, Austin, TX 78704-6915 | 2020-08-31 |
| 1346853280 | Nicholas Edward Jessup | Technician, Other | 3403b Garden Villa Ln, Austin, TX 78704-6915 | 2020-08-29 |
| 1740893668 | Melynda Raena Ambriz | Technician, Other | 3403b Garden Villa Ln, Austin, TX 78704-6915 | 2020-08-29 |
| 1326658048 | Erica Lee Maddox | Behavior Technician | 3403b Garden Villa Ln, Austin, TX 78704-6915 | 2020-08-06 |
| 1437772654 | Ashley Revels | Behavioral Analyst | 3403b Garden Villa Ln, Austin, TX 78704-6915 | 2020-05-21 |
| 1639790793 | Laurin Ettel | Behavioral Analyst | 3403b Garden Villa Ln, Austin, TX 78704-6915 | 2020-04-29 |
| 1427696541 | Yuanchen Kuo | Behavior Technician | 3403b Garden Villa Ln, Austin, TX 78704-6915 | 2019-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1902463219 | Melanie Rabalais Lpc, Pllc | Counselor | 3111 Dickson Dr, Suite 33, Austin, TX 78704 | 2019-05-22 |
| 1023590866 | Roberto Carlos Guerra | Physical Therapy Assistant | 2515 S Ih 35, Ste 320, Austin, TX 78704 | 2018-08-29 |
| 1750875118 | Kristen Gabrielle Ferrante | Dentist | 2330 S Lamar Blvd, Austin, TX 78704 | 2018-06-19 |
| 1366944555 | Beryl Hoelscher | Registered Nurse | 706 W Ben White Blvd Ste 233a, Austin, TX 78704 | 2018-03-02 |
| 1780103861 | Remedy Pediatrics Pllc | Pediatrics | 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 | 2017-09-11 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1659822690 | Kristin Jarrett | Physical Therapist | 1524 S I-35, Suite 300, Austin, TX 78704 | 2016-10-14 |
| Find all providers in zip 78704 | ||||
| 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 |
|---|---|---|---|---|
| 1639777428 | Daymarelis Maceo Vargas | Behavior Technician | 11210 Ranch Road 2222 Apt 10204, Austin, TX 78730-0007 | 2020-10-13 |
| 1942817234 | Victoria Alexis Cruz | Behavior Technician | 6636 W William Cannon Dr Apt 1232, Austin, TX 78735-8547 | 2020-09-30 |
| 1275140030 | Taylor Jane Walden | Behavior Technician | 6611 River Place Blvd Ste 305, Austin, TX 78730-1163 | 2020-09-25 |
| 1710599121 | Ana Oliveros Parra | Behavior Technician | 8517 Fm 1826 Ste 501, Austin, TX 78737-1472 | 2020-08-18 |
| 1629689864 | Chanelle Lynette Storey | Behavior Technician | Farm To Market Road 1826, Austin, TX 78737 | 2020-08-12 |
| 1013526011 | Clara Lorraine Garcia | Behavior Technician | 11028 Jollyville Rd Apt 146, Austin, TX 78759-4825 | 2020-07-24 |
| 1699390062 | Victoria Ratliff | Behavior Technician | 8517 Fm Rd 1826, Austin, TX 78737 | 2020-06-11 |
| 1609402833 | Louise Ng | Behavior Technician | 11718 Metric Blvd Bldg A, Austin, TX 78758-3203 | 2020-03-19 |
| 1336789122 | Training Wheels, Aba, LLC | Behavior Technician | 809 S Lamar Blvd Apt 380, Austin, TX 78704-1572 | 2020-01-09 |
| 1134762198 | Jeff Thurber | Behavior Technician | 100 Congress Ave # 1034, Austin, TX 78701-4072 | 2019-10-22 |
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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.