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Yandry Gutierrez Rivero

Behavior Technician in Boynton Beach, FL. Individual provider (NPI-1).

NPI number1619702578
StatusActive
Last updated in NPPESSep 2, 2024

Details

NPI
1619702578
Entity type
Individual (NPI-1)
Name
Yandry Gutierrez Rivero
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 2, 2024
Certification date
Sep 2, 2024
Last updated
Sep 2, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianBACB1149377FLYes

Practice location

4793 N Congress Ave Ste 203-204
Boynton Beach, FL 33426-7937

Phone 561-429-3863

Mailing address

441 Broward Ave
Greenacres, FL 33463-2001

Phone 561-654-3933

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