Individual
DARLYS GUTIERREZ IBANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
10073 SW 157TH CT, MIAMI, FL 33196-6141
(786) 308-0085
Mailing address
10073 SW 157TH CT, MIAMI, FL 33196-6141
(786) 308-0085
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-43962
FL
Other
Enumeration date
10/23/2018
Last updated
01/16/2023
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