Active NPI
Alice F. Gutierrez, B.C.B.A
- Behavior Analyst
- Stafford, TX
National Provider Identifier
1801805445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1409
- Practice address
- 11925 Southwest Freeway, St. 5
Blue Sprig
Stafford, TX 77477-7747 - Phone
- (713) 306-9793
- Fax
- (832) 358-2655
- NPI assigned
- Aug 5, 2006
- Last updated
- Apr 24, 2020
- Sex
- Female
- Sole proprietor
- No
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 Analyst | 103K00000X | 1409 | TX | Primary |
Addresses
Primary practice location
11925 Southwest Freeway, St. 5
Blue Sprig
Stafford, TX 77477-7747
Mailing address
17810 Spring Creek Forest Dr
Spring, TX 77379-4290
Phone (832) 358-2655
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 |
|---|---|---|---|
| 1409 | TX | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All for One Therapy LLC | Behavior Analyst | Current | Accepting new patients |
Locations
13333 Southwest Fwy
Sugar Land, TX 77478
Phone (281) 715-2888
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587686400000",
"number": "1801805445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17810 SPRING CREEK FOREST DR",
"city": "SPRING",
"state": "TX",
"postal_code": "773794290",
"telephone_number": "832-358-2655",
"fax_number": "832-358-2655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11925 SOUTHWEST FREEWAY, ST. 5",
"address_2": "BLUE SPRIG",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774777747",
"telephone_number": "713-306-9793",
"fax_number": "832-358-2655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "ALICE",
"middle_name": "F.",
"credential": "B.C.B.A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2020-04-24",
"certification_date": "2020-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stafford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.