Individual
GABRIELLE MICHELLE GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
32 MILLBRANCH RD STE 40, HATTIESBURG, MS 39402-1673
(601) 255-5264
Mailing address
12230 KENCREST DR, GULFPORT, MS 39503-2665
(504) 355-6899
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/26/2019
Last updated
07/28/2022
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