Individual
KASSANDRA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2762 N LINCOLN AVE, CHICAGO, IL 60614-2425
(844) 247-7222
Mailing address
PO BOX 639561, CINCINNATI, OH 45263-9561
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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