Individual provider · Type 1 NPI

Stephanie Diana Gomez, BCBA, LBA

Behavior Analyst · Rockford, MI

NPI number 1316671241 Active

Practice location

517 E Division St
Rockford, MI 49341-1376

Call (616) 512-2831 Map

Mailing address

1500 S Douglas Rd Ste 230
Coral Gables, FL 33134-4108

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Behavior Analyst Primary 103K00000XBACB812969 (IL)

Behavior Analyst: 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…

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About NPI 1316671241

Stephanie Diana Gomez, BCBA, LBA's National Provider Identifier is 1316671241, issued on Jul 15, 2022. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Rockford, MI. The record was last updated on Apr 2, 2026.