Active NPI
Ana Gutierrez
- Behavior Technician
- Miami, FL
National Provider Identifier
1245852607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-116909
- Practice address
- 13715 Kendale Lakes Cir Apt 304
Miami, FL 33183-2375 - Phone
- (863) 263-4889
- NPI assigned
- May 8, 2020
- Sex
- Female
- 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 Technician | 106S00000X | RBT-20-116909 | FL | Primary |
Addresses
Primary practice location
13715 Kendale Lakes Cir Apt 304
Miami, FL 33183-2375
Mailing address
13715 Kendale Lakes Cir Apt 304
Miami, FL 33183-2375
Phone (863) 263-4889
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | MIAMI | Other |
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 |
|---|---|---|---|
| RBT-20-116909 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634169600000",
"number": "1245852607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13715 KENDALE LAKES CIR APT 304",
"city": "MIAMI",
"state": "FL",
"postal_code": "331832375",
"telephone_number": "863-263-4889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13715 KENDALE LAKES CIR APT 304",
"city": "MIAMI",
"state": "FL",
"postal_code": "331832375",
"telephone_number": "863-263-4889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "ANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-08",
"last_updated": "2021-10-14",
"certification_date": "2021-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-20-116909",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "MIAMI",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "MIAMI",
"address_1": "13715 Kendale Lakes Cir Apt 304",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331832375",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.