Individual provider · Type 1 NPI

Vanessa Alexandra Gomez

Behavior Technician · Eagan, MN

NPI number 1104769686 Active

Practice location

4130 Blackhawk Rd Ste 136-146
Eagan, MN 55122-1700

Mailing address

9225 Hallmark Ave S
Cottage Grove, MN 55016-3851

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

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…

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About NPI 1104769686

Vanessa Alexandra Gomez's National Provider Identifier is 1104769686, issued on Apr 10, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Eagan, MN. The record was last updated on Apr 10, 2026.