Provider Demographics
NPI:1457155889
Name:GOMEZ ACOSTA, DAYAMI (RBT)
Entity type:Individual
Prefix:
First Name:DAYAMI
Middle Name:
Last Name:GOMEZ ACOSTA
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1018 DAVIS PL
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-3730
Mailing Address - Country:US
Mailing Address - Phone:727-330-5709
Mailing Address - Fax:
Practice Address - Street 1:1018 DAVIS PL
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-3730
Practice Address - Country:US
Practice Address - Phone:727-330-5709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT25420600106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician