Provider Demographics
NPI:1649937772
Name:ROCHA GOMEZ, ALONDRA (M ED BCBA)
Entity type:Individual
Prefix:
First Name:ALONDRA
Middle Name:
Last Name:ROCHA GOMEZ
Suffix:
Gender:F
Credentials:M ED BCBA
Other - Prefix:
Other - First Name:ALONDRA
Other - Middle Name:
Other - Last Name:ROCHA GOMEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:M ED BCBA
Mailing Address - Street 1:5815 82ND ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-3654
Mailing Address - Country:US
Mailing Address - Phone:806-705-5888
Mailing Address - Fax:
Practice Address - Street 1:6102 82ND ST STE 10
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-0802
Practice Address - Country:US
Practice Address - Phone:806-683-2582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-23
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
TX1-25-80143103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst