Maria Soledad Gutierrez Gutierrez, CBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3704 North 35TH St
Tacoma, WA 98407

Phone

(206) 580-6940

NPI assigned

Aug 11, 2021

Last updated

Aug 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1023783016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 N 106TH ST APT 116",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981339570",
            "telephone_number": "425-922-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 NORTH 35TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98407",
            "telephone_number": "206-580-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ GUTIERREZ",
        "first_name": "MARIA",
        "middle_name": "SOLEDAD",
        "credential": "CBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201635657",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Rae Gustafson, MN, NNP, ARNP
• Susan Gustafson, CTRS
• Wanda T Gustafson
• Richard W Gustin, R.PH
• Stephanie Marie Guthrie, L.M.P.
• Odiva Rocio Gutierrez Lopez
• Ada Gutierrez, RN
• Alexis Gutierrez
• Amy Marie Gutierrez
• Francesca Gutierrez, PA-C

• Behavior Technician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.