Individual
ANA I GUTIERREZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4793 N CONGRESS AVE STE 203, BOYNTON BEACH, FL 33426-7937
(561) 429-3863
(561) 448-6063
Mailing address
2707 FREEPORT RD, WEST PALM BEACH, FL 33406-7710
(561) 475-8501
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-210466
FL
Other
Enumeration date
04/18/2022
Last updated
04/20/2026
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