Individual
ANDRES GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24702 PALLAS WAY, MISSION VIEJO, CA 92691-4663
(949) 303-8599
Mailing address
24702 PALLAS WAY, MISSION VIEJO, CA 92691-4663
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45092
CA
106S00000X
Behavior Technician
RBT-17-33563
CA
Other
Enumeration date
01/08/2018
Last updated
10/14/2020
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