Individual
MILDRED GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
890 TRINITY AVE APT 11D, BRONX, NY 10456-7421
(918) 887-4988
Mailing address
890 TRINITY AVE APT 11D, BRONX, NY 10456-7421
(918) 887-4988
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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