Paige Nicole Gutierrez
Behavior Technician in Pueblo, CO. Individual provider (NPI-1).
NPI number1164092623
StatusActive
Last updated in NPPESJun 28, 2021
Details
- NPI
- 1164092623
- Entity type
- Individual (NPI-1)
- Name
- Paige Nicole Gutierrez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2021
- Certification date
- Jun 28, 2021
- Last updated
- Jun 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | CO | Yes |
Practice location
1321 S Prairie AvePueblo, CO 81005-2307
Phone 719-597-0822
Mailing address
1321 S Prairie AvePueblo, CO 81005-2307
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