Individual
BRIAN GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
35 N GRANT AVE, COLONIA, NJ 07067-2207
(732) 754-1764
Mailing address
35 N GRANT AVE, COLONIA, NJ 07067-2207
(732) 754-1764
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-31733
NJ
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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