Individual
ANA GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13715 KENDALE LAKES CIR APT 304, MIAMI, FL 33183-2375
(863) 263-4889
Mailing address
13715 KENDALE LAKES CIR APT 304, MIAMI, FL 33183-2375
(863) 263-4889
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-116909
FL
Other
Enumeration date
05/08/2020
Last updated
10/14/2021
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