Natalya T Gutierrez

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-61883 Issued in FL

Practice address

4620 N State Road 7 Ste 300
Lauderdale Lakes, FL 33319-5867

Phone

(561) 335-5681

NPI assigned

Nov 30, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Behavior Basics, Incorporated

  • Specialist
  • Port St Lucie, FL
  • NPI 1497913214
  NPD
• Behavior Basics, Incorporated

  • Behavior Analyst
  • Port St Lucie, FL
  • NPI 1538406616
  NPD
• ABA Cares of Florida LLC

  • Behavior Analyst
  • Lauderdale Lakes, FL
  • NPI 1245993138
  NPD (past)
• ABA Centers of America LLC

  • Behavior Analyst
  • Nashua, NH
  • NPI 1972187250
  NPD (past)
• Advanced Behavior Consultants

  • Behavior Analyst
  • Clarksville, TN
  • NPI 1134410905
  NPD (past)

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1104396357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 VILLAGE BLVD STE 100",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091963",
            "telephone_number": "954-296-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 N STATE ROAD 7 STE 300",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333195867",
            "telephone_number": "561-335-5681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1887 SE Port St Lucie Blvd",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349525530",
            "country_code": "US",
            "telephone_number": "772-463-0444",
            "fax_number": "772-219-1339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "NATALYA",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-30",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-22-61883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Kendall Griffith, P.A.
• Guidewell Sanitas I, LLC
• Guidewell Sanitas I, LLC
• Guidewell Sanitas I, LLC
• Guillaume Group, LLC
• H Care DME LLC
• Habla Conmigo Speech Therapy Services, LLC
• Theodoros Hailu, MD
• Hair Is in Salon, Spa & Boutique LLC
• Mohammad Hajianpour, M.D.

• All providers in Lauderdale Lakes, FL
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.