Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Etieneth Carolina Fajardo Gomez

Individual provider Behavior Technician · NPI 1952930059

Etieneth Carolina Fajardo Gomez is a Behavior Technician in Miami, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020
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Practice location Address checks out

13921 SW 122nd Ave Apt 303
Miami, FL 33186-6250
Phone: (786) 678-8777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (FL)

Record details

NPI number1952930059
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 2, 2020
Last updated in NPPESApril 2, 2020
Certification dateApril 2, 2020

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