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Individual

ALEXIA EVELYN GUTIERREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12545 ORANGE DR STE 502, DAVIE, FL 33330-4306
(954) 474-8048
Mailing address
5100 SW 90TH AVE APT 103, COOPER CITY, FL 33328-3627
(954) 662-8382

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
FL
2355S0801X
Speech-Language Assistant
Primary
SI4126
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SI4126
FLDOH
FL
Enumeration date
10/17/2017
Last updated
02/10/2026
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