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NPI Code Detail

MEDICARE: ALEJANDRA GUTIERREZ

MEDICARE:   ALEJANDRA  GUTIERREZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst
2222Q00000XDevelopmental TherapistFL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952737272
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEJANDRA GUTIERREZ
Provider Business Mailing Address
First Line : 1011 FAIRFIELD MEADOWS DR
Second Line :
City : WESTON
State : FL
Zip : 33327-1822
Country : US
Telephone Number : 954-470-0771
Fax Number : 954-470-0771
Provider Business Practice Location Address
First Line : 1011 FAIRFIELD MEADOWS DR
Second Line :
City : WESTON
State : FL
Zip : 33327-1822
Country : US
Telephone Number : 954-470-0771
Fax Number : 954-470-0771
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2013
Last Update Date : 02/18/2022

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Directions to “ ALEJANDRA GUTIERREZ ” Practice Location

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