Individual
EMILY DAZA GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1921 W IRVING PARK RD, CHICAGO, IL 60613-2407
(773) 687-9442
Mailing address
1921 W IRVING PARK RD, CHICAGO, IL 60613-2407
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/24/2022
Last updated
05/19/2025
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