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

MS. Stephanie Diana Gomez, BCBA, LBA

Individual provider Behavior Technician · NPI 1316671241

MS. Stephanie Diana Gomez, BCBA, LBA is a Behavior Technician in Rockford, Michigan. Licensed in Illinois. Registered with an NPI since 2022.

Licensed in
IL
In the registry since
2022
Specialties on file
2
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

517 E Division St
Rockford, MI 49341-1376
Phone: (616) 512-2831
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence BACB812969 (IL)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1316671241
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA , LBA
Sole proprietorNo
NPI enumeratedJuly 15, 2022
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026

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