Individual
MRS. ASHLEY GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA, LABA
Contact information
Practice address
83 PINE ST STE 102, PEABODY, MA 01960-3635
(978) 717-5062
Mailing address
11 CHERRY ST, SWAMPSCOTT, MA 01907-1703
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-22284
MA
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
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