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

Susana Tavera Gomez

Individual provider Assistant Behavior Analyst · NPI 1467167643

Susana Tavera Gomez is an Assistant Behavior Analyst in Stockton, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

1811 Grand Canal Blvd Ste 2
Stockton, CA 95207-8107
Phone: (877) 418-2978
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X
Assistant Behavior Analyst Taxonomy 106E00000X (CA)

Record details

NPI number1467167643
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 23, 2023
Last updated in NPPESJanuary 30, 2023
Certification dateJanuary 30, 2023
Mailing address350 Fairway Dr Ste 101, Deerfield Beach, FL 33441-1834

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