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

Mr. Anthony Robert Gomez Jr., CADCICI21600218

Individual provider Behavior Technician · NPI 1407340631

Mr. Anthony Robert Gomez Jr., CADCICI21600218 is a Behavior Technician in Yucaipa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018
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Practice location Address checks out

36442 Wildwood Canyon Rd
Yucaipa, CA 92399-5274
Phone: (800) 474-4848
Fax: (909) 748-6424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence CI21600218 (CA)

Record details

NPI number1407340631
Entity typeIndividual (Type 1)
GenderMale
Credentials CADCICI21600218
Sole proprietorYes
NPI enumeratedJune 20, 2018
Last updated in NPPESJune 20, 2018

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