Individual
DIANA GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1050 CONNECTICUT AVE NW STE 500, WASHINGTON, DC 20036-5304
(833) 599-2560
Mailing address
850 TOWBIN AVE, LAKEWOOD, NJ 08701-5928
(833) 599-2560
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0134000406
VA
106S00000X
Behavior Technician
—
VA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/09/2019
Last updated
11/23/2022
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