Jade Gomillion
Jade Gomillion is a Behavior Technician in Longview, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2023
Practice location Address checks out
701 Glencrest LnLongview, TX 75601-5145
Phone: (903) 686-9941
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (TX) |
|---|
Record details
| NPI number | 1992485262 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 21, 2023 |
| Last updated in NPPES | July 21, 2023 |
| Certification date | July 21, 2023 |
| Mailing address | 701 Glencrest Ln, Longview, TX 75601-5145 |
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