Individual
NEVAEH GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2603 W RAWSON AVE STE 123, OAK CREEK, WI 53154-8422
(888) 754-0398
Mailing address
3671 E PLANKINTON AVE, CUDAHY, WI 53110-1420
(414) 841-5285
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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