P Praxis·MD
● Active Type 1 · Individual

Kimberly Gomez, RBT

Behavior Technician·Fayetteville, GA· NPI 1003565326 · Enumerated 2022 · 4 years on NPI
Gomez is 1 of 128 behavior technician providers in Fayetteville and 1 of 11766 in Georgia.
NPI age
4 years
Enumerated 2022-03-23
Primary specialty
Behavior Technician
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-03-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 11766 active behavior technician providers in Georgia.

NPI age
4 years
↑ 2 yr above median (2 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
2% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-03Enumerated in NPPES
2022 2026

Where they practice

Practice location
126 Pavilion Pkwy
Fayetteville, GA 302144056
📞 7709548988fax 3175208200
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 462686135
📞 8553240885fax 3175208200

Specialties

  • Behavior Technician Primary
    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...
    GA license #RBT-22-208002 taxonomy 106S00000X

Practice context

Part of a multi-provider practice. 117 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new behavior technician provider has been added in Fayetteville in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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