Individual
MABEL TRUJILLO GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8359 BEACON BLVD STE 416, FORT MYERS, FL 33907-3065
(786) 972-4700
(305) 508-6697
Mailing address
1710 SE 21ST ST, CAPE CORAL, FL 33990-4122
(239) 245-0268
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
FL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/11/2019
Last updated
09/25/2021
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