Evangelina Gutierrez, Behaviorist
Behavior Technician in Rancho Cucamonga, CA. Individual provider (NPI-1).
NPI number1245102441
StatusActive
Last updated in NPPESNov 24, 2025
Details
- NPI
- 1245102441
- Entity type
- Individual (NPI-1)
- Name
- Evangelina Gutierrez
- Credential
- Behaviorist
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 18, 2025
- Certification date
- Nov 24, 2025
- Last updated
- Nov 24, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | CA | Yes |
Practice location
10261 Trademark StreetRancho Cucamonga, CA 91730
Phone 909-481-9333
Mailing address
17134 Coronado AveFontana, CA 92336-1595
Phone 909-582-6293
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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