Sharon Fayette Gutierrez
Behavior Technician in Riverside, CA. Individual provider (NPI-1).
NPI number1982202172
StatusActive
Last updated in NPPESOct 11, 2020
Details
- NPI
- 1982202172
- Entity type
- Individual (NPI-1)
- Name
- Sharon Fayette Gutierrez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 11, 2020
- Certification date
- Oct 11, 2020
- Last updated
- Oct 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
4300 Latham St Ste 200Riverside, CA 92501-4334
Phone 818-235-1414
Mailing address
7226 Sepulveda BlvdVan Nuys, CA 91405-2003
Phone 818-235-1414
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