Active NPI
Brian Gutierrez, BCBA
- Behavior Analyst
- Colonia, NJ
National Provider Identifier
1013480243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 15BC00011700
- Practice address
- 35 N Grant Ave
Colonia, NJ 07067-2207 - Phone
- (732) 754-1764
- NPI assigned
- Jan 10, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 15BC00011700 | NJ | Primary |
Addresses
Primary practice location
35 N Grant Ave
Colonia, NJ 07067-2207
Mailing address
35 N Grant Ave
Colonia, NJ 07067-2207
Phone (732) 754-1764
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15BC00011700 | NJ | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1013480243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 N GRANT AVE",
"city": "COLONIA",
"state": "NJ",
"postal_code": "070672207",
"telephone_number": "732-754-1764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 N GRANT AVE",
"city": "COLONIA",
"state": "NJ",
"postal_code": "070672207",
"telephone_number": "732-754-1764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "BRIAN",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-10",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "NJ",
"license": "15BC00011700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colonia, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.