Individual
ABEL ENRIQUE GUTIERREZ VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
28802 SW 160TH CT, HOMESTEAD, FL 33033-1162
(305) 812-6509
Mailing address
28802 SW 160TH CT, HOMESTEAD, FL 33033-1162
(305) 812-6509
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-283739
FL
Other
Enumeration date
10/25/2023
Last updated
12/14/2023
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