Ivis C Gutierrez Gomez

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0-26-17186 Issued in FL

Practice address

12719 SW 136TH St Apt 7105
Miami, FL 33186-5283

Phone

(813) 485-1514

NPI assigned

Sep 5, 2023

Last updated

Jun 3, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1174309314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 W POWHATAN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336145956",
            "telephone_number": "813-485-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12719 SW 136TH ST APT 7105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865283",
            "telephone_number": "813-485-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ GOMEZ",
        "first_name": "IVIS",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-26-17186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sady Elena Gutierrez Fernandez
• Adrian Daniel Gutierrez Ferran Sr.
• Hector Luis Gutierrez Garces
• Miriam Gutierrez Garces
• Grabiela Gutierrez Garcia
• Gutierrez Group Home Inc
• Shelsyn Gutierrez Guerra
• Olga Mary Gutierrez Gutierrez
• Gutierrez Healthcare Inc
• Cilene Gutierrez Hernandez

• Assistant Behavior Analyst in Miami, FL
• Providers in Miami, FL by specialty
• Assistant Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.

Verify at the official NPI Registry.