MEDICARE: LIZANDRA C GUTIERREZ RBT

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
1	106S00000X	Behavior Technician

Other Identifiers

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

General Provider Information

NPI Number	:	1679091367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIZANDRA C GUTIERREZ RBT

Provider Business Mailing Address
First Line	:	6300 CORPORATE CT STE 102
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33919-3513
Country	:	US
Telephone Number	:	239-689-8204
Fax Number	:

Provider Business Practice Location Address
First Line	:	6300 CORPORATE CT STE 102
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33919-3513
Country	:	US
Telephone Number	:	239-689-8204
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2017
Last Update Date	:	08/03/2022

Similar Medicare Providers

1902286974 — DR. TERRY DORNAK PSY.D.
Practice Location Address:

6300 CORPORATE CT STE 103
FORT MYERS, FL
33919-3513

Practice Phone: 312-781-2850
Practice Fax:

1477551497 — EMILIO DELVALLE M.D.
Practice Location Address:

6300 CORPORATE CT , STE 103
FORT MYERS, FL
33919-3513

Practice Phone: 239-277-7666
Practice Fax: 239-277-1064

1518055201 — PHYLLIS C. WEBER L.AC.
Practice Location Address:

6300 CORPORATE CT STE 104
FORT MYERS, FL
33919-3513

Practice Phone: 239-936-4199
Practice Fax:

1518088517 — EMILIO DEL VALLE, M.D., P.A.
Practice Location Address:

6300 CORPORATE CT STE 103
FORT MYERS, FL
33919-3513

Practice Phone: 239-277-7666
Practice Fax: 239-277-1064

1366694515 — TRICIA RENEE ROY LMT, NCTMB
Practice Location Address:

6300 CORPORATE CT
FORT MYERS, FL
33919-3513

Practice Phone: 239-437-8386
Practice Fax: 239-482-8052

1801396742 — FT. MYERS MRI, LLC
Practice Location Address:

6300 CORPORATE CT STE 101
FORT MYERS, FL
33919-3513

Practice Phone: 239-689-3695
Practice Fax:

Directions to “ LIZANDRA C GUTIERREZ RBT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.