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NPI Code Detail

MEDICARE: LINDSEY RAYE GUTIERREZ

MEDICARE: LINDSEY RAYE 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 AnalystLABA.AB.70108258WA

General Provider Information

NPI Number : 1780406124
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSEY RAYE GUTIERREZ
Provider Business Mailing Address
First Line : 2022 EASTERN DR
Second Line :
City : OAK HARBOR
State : WA
Zip : 98277-3430
Country : US
Telephone Number : 360-632-1708
Fax Number :
Provider Business Practice Location Address
First Line : 1720 N HAMILTON ST
Second Line :
City : SPOKANE
State : WA
Zip : 99207-2474
Country : US
Telephone Number : 360-632-1708
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2024
Last Update Date : 04/17/2026

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Directions to “ LINDSEY RAYE GUTIERREZ ” Practice Location

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