Bianey Cynthia Gutierrez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

130 S Lincoln Ave
Jerome, ID 83338-2631

Phone

(385) 319-0395

NPI assigned

Dec 13, 2024

Last updated

Dec 13, 2024By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Autism Behavior Academics

  • Behavior Analyst
  • Jerome, ID
  • NPI 1649048133
  NPD

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

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1083421937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S LINCOLN AVE",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833382631",
            "telephone_number": "385-319-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S LINCOLN AVE",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833382631",
            "telephone_number": "385-319-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "BIANEY",
        "middle_name": "CYNTHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria M Gandiaga
• Daniel Joe Garza
• Peter A Gibbons, PHARMD
• Jolynn Lesa Gilmore
• Daiza Janisa Gonzales
• Rachel Guymon, RDN
• Robert William Hale, DMD
• Yudith Hall
• Joshua Ted Hansen, D.O.
• Sandra Jean Harney, MT

• Behavior Technician in Jerome, ID
• Providers in Jerome, ID by specialty
• Behavior Technician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.