Jorge Gutierrez
Behavior Technician in Homestead, FL. Individual provider (NPI-1).
NPI number1942002605
StatusActive
Last updated in NPPESMar 25, 2025
Details
- NPI
- 1942002605
- Entity type
- Individual (NPI-1)
- Name
- Jorge Gutierrez
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 25, 2025
- Certification date
- Mar 25, 2025
- Last updated
- Mar 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
49 Nw 17th StHomestead, FL 33030-3210
Phone 786-349-4700
Mailing address
14630 Sw 105th CtMiami, FL 33176-7730
Phone 786-343-3068
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