SUSANA TAVERA GOMEZ
NPI 1467167643
Behavior Technician in Stockton, CA

Active since January 23, 2023
1811 GRAND CANAL BLVD STE 2, STOCKTON, CA 95207(877) 418-2978 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 30, 2023, Jan 23, 2023 (2 updates tracked since 2023).

About Susana Tavera Gomez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSANA TAVERA GOMEZ (NPI 1467167643) is an individual behavior technician in Stockton, California and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1467167643
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameSUSANA TAVERA GOMEZ
Location Address1811 GRAND CANAL BLVD STE 2Stockton, CA 95207-8107
Mailing Address350 Fairway Dr Ste 101Deerfield Beach, FL 33441-1834 · (877) 418-2978 · Fax (866) 500-2186
Sole ProprietorNo
Enumeration DateJanuary 23, 2023
Last NPPES UpdateJanuary 30, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2023
NPI 1467167643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
Also ListedAssistant Behavior AnalystTaxonomy 106E00000X
1811 GRAND CANAL BLVD STE 2, Stockton, CA 95207

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
1811 GRAND CANAL BLVD STE 2
STOCKTON, CA 95207
Behavior Technician
1811 GRAND CANAL BLVD STE 2
STOCKTON, CA 95207
Behavior Technician
1811 GRAND CANAL BLVD STE 2
STOCKTON, CA 95207
Behavior Technician
1811 GRAND CANAL BLVD STE 2
STOCKTON, CA 95207
Behavior Analyst
1811 GRAND CANAL BLVD STE 2
STOCKTON, CA 95207
Behavior Technician
1811 GRAND CANAL BLVD STE 2
STOCKTON, CA 95207
Behavior Technician
1811 GRAND CANAL BLVD STE 2
STOCKTON, CA 95207
Behavior Technician
1811 GRAND CANAL BLVD STE 2
STOCKTON, CA 95207

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susana Tavera Gomez's NPI number?

The NPI number for Susana Tavera Gomez is 1467167643. It was assigned to this individual provider in the NPPES registry on January 23, 2023.

Where is Susana Tavera Gomez located?

Susana Tavera Gomez practices at 1811 Grand Canal Blvd Ste 2, Stockton, CA 95207. The listed phone number is (877) 418-2978.

What is Susana Tavera Gomez's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Susana Tavera Gomez was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.