Individual
IVAN GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 S 14TH AVE, YUMA, AZ 85364-1990
(623) 696-2195
Mailing address
330 S 14TH AVE, YUMA, AZ 85364-1990
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AZ
Other
Enumeration date
10/18/2025
Last updated
10/18/2025
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